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PRE 2010 DOCSCity f Fridley, Minn. 3 9 �7®'3 No 9223 BUILD NG PERMIT Date: May 8, 1967 Homedale Builders_ Owner: Builder Address Address 5217 Wayzata Blvd. —. LOCATION OF BUILDING Drive No. 7467 Street N. E. ___ _� __ Part of Lot _Melody Lot ? ....___ Block 5 ddition or Sub -Division . ___ Melody Manor 4th Addn. Setback 35 ' -- Sideyard __ W. 5' Corner Lot _ Inside Lot x Sewer Elevation 881.75 _ W.___ 884.75 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 66' Depth 24128 Height . 20 Sq. Ft, 1152 CtL Ft. Garage _ Front 20' Depth —24' _.._24' Height 10' Sq. Ft. _ 480 CU. Ft Type of Construction _Frame Cost_ $19,590 To be Completed July 15,15 SEWER LOCATION - 180' West of Manhole RATER LOCATION- 170' West of Manhole In consideration of the issuance to me of permit to the building described above, I agree to do to the proposed work in accordance with the des 'ption a set f and in fiance with all provisi of ordinances of the city of Fridley. $10 1VSSSD In consideration of the payment of a fee of 1 35.00 , permit is hereby granted to HOmedale Builders to construct the buil Ung or addition as described above. This permit is granted upon the express condition that the person to whom t is granted and his agents, employees and workmen, in all work done in, around and upon said building, or an 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 yoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: This permit does net cover the construction, installation for wiring, plumbing, gas heating, Sewer or water. Be euro to see the Building Inspector for Separate permits for them 11 ams. 167 OWNER'S NAME ADDRESS APPLICATION CITY OF FOR BUILDING PERMIT , MINNESOTA LOCATIONIOF BUILDING NO, STREET- LOT BLOCK AD] CORNER LOT INSIDE LOT_4 SET] SEWER ELEVATION 9 Y/; -7-5-' J- /io - 1-77 sc;% Applicant attach to this form Two c dquilding location�dra n g these CE To be used as; y PART OF LOT ON OR SUBDIVISION„r� SIDE -YARD —FOUNDATION ELEVATION tificates of Survey of Lot and proposed ificates. OF BUILDING Fr nt Depth LHeight Sq. Ft.,� -2 Cu. Ft. Froat— �2� Depth�Height / Sq. Ft. Cu. Ft. Type of Construction Estimated Cost��®® To be completed /' l�% 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. (Schedule of Fee Costs can be found on the Reverse Side). v ` 9t .. 9 ODENOTES IRON ===DENOTES DRAINAGE AND UTILITY EASEMENT ANOKA CWNTY I llrrrrhy yrs 's o lamer and aarrtcl .04ti�1 g°d sory Irb hm"d4K" 406 Aw cid IW„ fld %fin yf "a� h�, ern, Mrd d/ risi6it o�rift .'a�.an ar mad And. As S a►. 1 46 Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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 60 B Furnace Shell & Duct Work to 120,000 BTU ............ MT $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ ✓ GAS FITTING FEES: NOATE TOTAL 1st 3 Fixtures x $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ a -o TOTAL FEE $T� Dept. of Bldga. Phone SM -3450 V 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, Aa— lm- Owner 4N2`�:Z� Kind of Building Used as To be completed about Estimated Cost, $--// Permit No. o , --I Permit DESCRIPTION OF WORK HEATING or PO PLANTS -Ste Hot Wa , Warm Air—' No Trade Name -� Size No d Capacity Sq. Ft. E.D.R %D BTU H.P. Total Connected Load Z J J Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) RAY N. WELTER HEATING CIT Signe 463, U4NNF-APOLIS 7. MINNESOTA 42 Business Phone No- 0" 4 F 6 . City of Fridley r AT THE TOP OF TME TWIN$ r f L-------- COMMUNITY DEVELOPMENT CIV, 1 i PROTECTIVR M/*ECTIQN OPT. CITY NALL PIUMV **Olt i..... Alf �.� NS -5110-3450 53-4-S-915-51 iUMIJEC.T PLUMBING PERMIT APPLICATION 0 Job Address - u 2115/73 1 1 800 71,67 N. E. Melody Drive ner Address Phone Russell Peterson ContractorMINNC9-Al:: 733 fAAR(_;F.j: I dress Phone Kind of Building AARLS, Use Frame Res. Completion DatelEstimatedCost 5-21-7b " 7ddv I eve I I•saa•1 MN lva m SNISYS w % H�1Y7 eNwaa o woo -Id 3C 0 .w •e ,Q VI S93MON$ to .0 Vts1Nnodl NNIa0 A (� BAYlIlI NSYM SHNISI SNISVS oanA Ntve Nlan 912901'2 O w P Gas Fitting Fees : lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 t IGas Range -199,000 BTU x $5.00 Repairs & Alterations Description: Install Gas Grill Seeode5.00 State Surcharge Ctass ;_'X" Surchir, e ,50 .50 I TOTAL FEE $ 5.50 !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 rulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application _aree true and correct. 'Signature "" ° ' Date t x.0.00 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Bastn x $3.25 r Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees : lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 t IGas Range -199,000 BTU x $5.00 Repairs & Alterations Description: Install Gas Grill Seeode5.00 State Surcharge Ctass ;_'X" Surchir, e ,50 .50 I TOTAL FEE $ 5.50 !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 rulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application _aree true and correct. 'Signature "" ° ' Date t City of Fridley SUBJECT PE ®15084 AT THE TOP OF THE TWINS BUILDING PERMIT REC COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � q q-73 1 � l T � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �.J 612-560-3450 910-F15 3/20/79 JOB ADDRESS 7467 Melody Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 5 Melody Manor 4th Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Russell Peterson 7467 Melody Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Durabilt Asso. Inc. 409 Washington Avenue South. Ho ki a 938-9350 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑! MOVE ❑ REMOVE X 6 DESCRIBE WORK Construct a 22' x 14' Addition to back of house 9 CHANGE OF USE FROM TO STIPULATIONS See remarks on plan wA iING PERMITS REQUIRED FOR WIN* Bdore ng't�ll IMMutititiss SEPERATE TINE HEATING, PLUMBING AND SIGUS. E ECRIC-GAS EtC. REQUIRE f) BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10,000 $5.00 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. $60.00 PLAN CHECK FEE TOTAL FEE $65.00 NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT b��GNATURE-OF OWN IIF OWNER BUILDERI (DATE) f BLDG INSP DAIE CITY OF FRIDLEY APPLICATION FOR 1117S I llENT I AL BUILDING PE1114I TS (NEW, ALTERATIms, ADDITIONS, OR REPAIRS) ottit7l;R: �z �L� V-KA2CrV L fFTt-rsoty BUILDER: Os�"G. Thr e Aaaress: 7147 3'1 tFt 15?-�C /�1 Address: 4-16 • Tel. No.: 9.5g — 3 No.. 7 Street: 14 -6F -G10 /�7y 412 LOT: °� BLOCY.: -57— ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:. Applicant attach to this form Two Certificates of Survey of Lot and proposed • building location drawn on these Certificates. s DESCRIPTION OF BUILDING •,- To Be Used As: • �e°/��/�T� Front: � � Depth: •/ � • Height: � Square Feet: J�769 Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: 7b Be Completed: ;?u y", l Alt. A Alt. B Proposed Driveway Width If Isew Opening Is Desired $ $ • (SEE REVERSE SIDE OF SHEET) 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 Euildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: -3^ /0/ " -7 SIGNATURE Stipulations: semi Aa its Q� Piste a r _ Lt -W1 PlLuNrxxl b87sWormy 'tS,vE: e,�� s,�-,�y,.�, Mme►;ssz . SOK,Tto lq EISI I EE I N ® INC. _ ,f!ln,ef 4ti0� • _ � rrri Ff MLv,xtpvl j F,Engineers Survecfors .---- ce.mt-licate su2ve7 for HOMEDlALL BUILDERS" 1�6T� o DENOTES IRON ----DENOTES DRAINAGE AND UTILITY EASEMENT L.Oz 1) BLOck_ 5,.....MELODY MANOQ 4T" ADD,TioN ANOKA COUNTY l hereby crrfi�y ffiai s a fi-w a,xd correct rp senlafic n �'o swwtt� ' bovndarn's q'#° a6®W c rsrrl�d d, ,6? %vfior► 'oH ��' . �,y d a# ns,Nle axnwc ,,nenfl , ��'fran or a�said l�rnd Rs surrec ed t� inre ft�s A"9'lit Su6uRBAN EN61NEERIN6. INC. Ln4neers 1fi' Sur►uja'� r j�, {I � ' rte[(. ��,• T f•'" (�z' ;_P t . ` •:__ _ 1. -to I L VHUVhHIYUWNER MAIL AUUHtSS FIRE DEPARTMENT MEMO T0: CUI:LDI:NG:1NSPECTION ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE FIRE HAS OCCURRED AT 0 _--LIF'--------_--1-- DATE: Jan. 26, 1983 •7467 Melody Dr., Russell Peterson (784-9085) (ADDRESS) Jan. 26, 1983 DATE OF RE SUBJECT PERMIT NO. City of Fridley16 9.1 AT THE TOP OF THE TWINS BUILDING PERMIT SO. FT. rp OR WORK IS SUSPENDr&D OR ABANDONED FOR A PERIOD OF 120 DAYS AT RE • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NO. DWLG. UNITS OFFSTREET PARKING CITY HALL FRIDLEY 55432 L 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 $12,000 1/26/83 DOES N R LIME O GIVE AUTHORITY TO VIOLATE OR CANCEL THE 10B ADDRESS 7467 Melody Drive N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 5 Melody Manor 4t11 Adation SHEET I L VHUVhHIYUWNER MAIL AUUHtSS FIRE DEPARTMENT MEMO T0: CUI:LDI:NG:1NSPECTION ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE FIRE HAS OCCURRED AT 0 _--LIF'--------_--1-- DATE: Jan. 26, 1983 •7467 Melody Dr., Russell Peterson (784-9085) (ADDRESS) Jan. 26, 1983 DATE OF RE (DATE) - A 411`10� �CTTtnn-ITr'LnIVfTt�Rl'1C"-1'IGIIUITTLII rVI't LL2LI1'tIGRL, rI.U1VIBTNG,REATINL7, VENTILATING'°Q),R AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOTOOMMENCED WITHIN 60 DAYS, 6R IF CONSTRUCTION ZONING SO. FT. CU. FT. OR WORK IS SUSPENDr&D OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING '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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12,000 $6.00 DOES N R LIME O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI ON Y THER STATE OR LOCAL LAW REGULATING CON- STRU 10 R T ERFORMANCE OF CONSTRUCTION. $92.50 s$98.50 PLAN CHECK FEE TOTAL FEE NTRA TROR A SIGNATU EOF COOUTHORIZED AGENT (DATE) N.WHEN PROPERLY VAIRRMATED THIS JS YOUR PERI (DATE) - A 411`10� CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PER141TS (News Alterations, Additions. or Repairs) OWNER: BUILDER: d2 �� ADDRESS: 6 ® e ADDRESS: TEL 110: _ �'� _ TEL NO: 2Z 2- 2 F60 Constructi • STRMT NO: C 7 STREET: 6ff —e /O.Q LOTr BLOMx ADDI z tion I 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 CONSTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Constructions _ ZL±*-6. Estimated Cost: Tb Be Cbripleted: (4 A CAIS Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for • pp permit for the work herein specified, Agreeing to do ,all work is, strict accordance with the City of Fridley Ordinances and rulings of the De prtment of buildings, an he�zi�eclares that all the facts and representations stated in this applicati r¢¢/t and correct. MTEs q,3 BIGNATUlEz__L `' " a /_J tel ,14M,�v� Stipulations: PIE rLkA or gZ.SQ T� a� Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO 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 () No Type RATE TOTAL JOB ADDRESS 77 6 �&Qlu ,f . $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $.7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I% of Value of Fixture or Appliance State Surcharge -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. oa-9 .199 Owner RUSQ'j � e,�e1.0.0 ,' Building Used As (2,e_Sd4."-ce i ,! Estimated Cost PERMIT NO. / /36`;_1A PLUMBING COMPANY 1-4 Je, . (? SIGNED TEL N0. Approved By 40/Rough—In Date Final Date $ .50 _ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ %� S PLUS THE $.50 STATE SURCHARGE 01 SUBJECT T NO. City of Fridley 25643 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEI T NO. COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. r 1 713 1 � i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY "'' 612-571-3450 910-F15 10/28/97 / / JOB ADDRESS 7467 Melody Drive NE 1 LEGAL LOT NO. 7 BLOCK 5 TRACT OR ADDITION SEE ATTACHED Melody Manor 4th SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russ Peterson 7467 Melody Drive NE 784-9085 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gold Key Construction 7915 Corcoran Trl W, Hamel, MN 55340 494-8810 20080388 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 CR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement Alteration 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. PIRATE PERMITS REQUIRED FOR WIRINGe HEATING, PLUiVISING AND SIGNS; 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 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 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 $ 18,000 $9.00 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 PROVISION& OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- '1vRUCTIOftbR $262 25 Fir SC $18.00 THE PERFORMA CE OF CONSTRUCTION • PLAN CHECK FEE TO AL FEE �0�'l Li s C $5. $294.25. SIGNATURE OF CONTRACTOR OR AUTHORIZE AGENT IDATEI HE PR P VALID D THIS IS Y UR PERMIT O B G INSP riATE f-7 SIGNATURE OF OWNER, IF OWNER BUILDERI IDATEI 01 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: "O"Q Effective 1/1/97 Owner Name & Address: 9 u S s PQ /?�AS Do (-� , QTel. # 7 — Contractor: C ,. MN LICENSE # -2O 4S-�3 3� Address: :2 f C6jz-cD �1 �'L lig s� - ��,� a L 1 Tel. # Li`l'' �i"A�Pj y T Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Wnn>co Estimated Cost: $ f A, dC)G (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 4612iS APPLICANT: Tel. STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ /9.00 .001 of Permit Valuation (1/10th%) State Surcharge $ q.00 $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ • 00 $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 $ �S STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Mmmw Effective On January 1, 1997 JOB ADDRESS % 6-7 ffi e ad a / h !LeNF . The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 30.00 $_3 representations stated in this application are true and correct. ,1997 $ 10.00 $_ OWNER $10,00 $ BUILDING USED AS $10.00 $ ESTIMATED COSTPERMIT NO. /� J $ 25,00 $_ DESCRIPTION OF FURNACE AND OR BURNER $ No, of Heating Units I Circle One (Steam) (Hot Water) Trade NameeaJ.'o, Size No. 3 55 m f1 Vy yao�b BTU �� , Dib HP EDR $ Fuel 0A.0 _ Total Connected Load State Surcharge .50 Burner Trade Name TOTAL FEE L:5 c .0 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BTU HP Size No, EDR . BLAINE HTG. A/C ELECT., INC. HEATING COMPANY 135M e"CE/NpTRALAVE. N.E. 1Cn�tl\MN 6680 Signed By Tel No. Approved ByRough-In Date Final Date -2 FILL OUT BACK SIDE F STACK VERIFICATION ON . REPLACEMENT FURNA E r Remarks: . List ALTERATIONS Being Done: L testi r �a �•- l�Ju.7�.tr hevTtr HEATING CO: Signed By; Date: U CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the. existing chimney or stack: 1. Has been carefully examined Yes( 4) No ( ) 2. Is free from rust or deterioration Yes (,U No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes W No { ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No (�) 6 Has total heating BTU's of Ya B Wo 01 All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes (<) No (. ) 8. Has combustion air been provided for water heater Yes o No ( ) Remarks: . List ALTERATIONS Being Done: L testi r �a �•- l�Ju.7�.tr hevTtr HEATING CO: Signed By; Date: U SUBJECT PERMIT NO. City of Fridley 26396 AT THE TOP OF THE TWINS BUILDING PERMIT � • RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ______ r E ~ PROTECTIVE INSPECTION SEC. /J / NUMBER REV DATE 16/29/98 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �"" l ,j 612-571-3450 910415 JOB ADDRESS 7467 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 5 1 Melody Manor 4th SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Peterson 7467 Melody Drive NE 784-9085 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Home Products 3770 West Broadway, o a521-9211 2332 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 55422 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit and fascia aluminum 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 PR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME T IVE AU ORITY TO VIOLATE OR CANCEL THE PERMIT FEE AC CHARGE PROVISIONS OF ANY T R STA LOCAL LAW REGULATING CON- $74.75 Fire SC $2.12 STR CTI N O THE P R RMAN E OF ONSTRUCTION. J -,� — PLAN CHECK FEE License $5.0 L FEE ;72.93 51 NATURE FC 7RACTOROR %UTHORIZEDAGENT (DATEI N ROVATHIS ISV P R '00e 22 le1v 71 BLUC INSP BATE S)GNATUREOF OWNERIIF OWNER BUILDER) IDATEI NEW [ l ADDN (J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address:_, Legal Description: Owner Name & Address: Contractor:Ac 14 k c Address: 3 7 71' — 0(� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: A" 2' ji-. V %&,/ z --- Effective 1/1/95 d6 3 9� j�7"/9 Tel. # ;7,_ MN LICENSE # 1-2 3 Tel. # f4 d/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length WidthHeight Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ ] ff Ft. Yd Setback Side Yard Setbacks Type of Construction: 5 ° T t�- .'� � 1�� Estimated Cost: $ 2123, Approx. Completion Date: F-/ 5 - y� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6, Ft = Ft $ _ $ DATE: C-lC J APPLICANT: c Tel. # /- // STIPULATIONS: CITY USE ONLY Permit Fee $ S� Fee Schedule on Reverse Side Fire Surcharge $ / o�- .001 of Permit Valuation (1 / 10th %) State Surcharge $ . D% $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ C) $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 of Fridley 4CECity _AT THE TOP OF THE TWINS BUILDING PERMITo r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 17/20/98 JOB ADDRESS 7467 Melodv Dr. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 5 1 Melody Manor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russ Peterson 784-9085 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Hartland Ind. 817 Vandalia St St. Paul MN 5 114 644-5456 not licensed 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 (A ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 12' R 10' Shed 9 CHANGE OF USE FROM TO STIPULATIONS Must comply with city zoning code requirements. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $1578.84 $.79 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. $51.25 Fire SC $1.58 PLAN CHECK FEE TOTAL FEE xxx 53.62 TORE OF CONTRACTOR OR AUT DAGENT MATEi WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLD SNS DATE GNATUREO OWNER O NERB ERi iDATEi NEW [J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 7 Ve; :z > n4 Al Legal Description: �',Q `e t> f&"o u. Owner Name & Address: S Tel. # 7V V - Contractor: ��Ie- MN LICENSE # Address: S/7 j/ 11V42i2 1 z oP S'7 !'s AX o (. !S/l t Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IldPROVEMENT LIVING AREA: Length----/ Width _ .lam Height l Sq. Ft. -/-*-,O) GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 70- A/ 2� Construction Type: j5?� x Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 7— t -e - % y APPLICANT• Tel. #-¢�--�� CITY USE ONLY Permit Fee $/, 2 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ R $.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 $ CZ % u_Sr STIPULATIONS: r i LtrA1 r�knNlNx� -A�h''vy SLS NE. Manaev�is77. L. , i S,.nweYr f 504'..,Tesl+ixjENGINEERINGSLln,el4.06E civil 6- Munapal Err�rne rrV Engineers E Survecprs .--- cert-ficate of suirvesom 'HOMEDALE BUILDERS* . i \% ohs tv �e LOT 7 o DENOTES IRON _ DENOTES DRAINAGE AND UTILITY EASEMENT LOT 2, BLOCk 5 MELODY MANOR 4T" ADDITION ANOKA COUNTY /hereby crrfiiry. #,d #M3 /S ° hUd cxf oa.racf /Vprrsenfaftian oa srrrttf bou.►dories & abdoe Ai -"W gid, and ~i4�e /�cviionof'oN bwhiuz�s. �"' •' dl ns�blt uxrrwh,rjtnfl ,�fvny, f+ w or an said /ond /1s surveyed 6[� roe 1tWS r - �,l7 Seol4moer A.17r�3' SUBURSAN ENGINEEIVNG, INC. r r ► - s�B�EtT PO. City of Fridley 3 0289 AT THE TOP OF THE TWINS BUILDING PERMIT RE E ' i v -------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC p a� /��f/1 r E PROTECTIVE NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/24/99 10B ADDRESS 7467 Me dy Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Melody Manor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russ Peterson 784-9085 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Const. Inc. 2937 174th Ln NW Andover 5530 753-5469 06 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 -NN REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 30 S 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 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 $2622 $1.31 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 Ylre SC $2.62 PLAN CHECK FEETALFEE Lice e C 0 92.18 AT E OF CON'RACTOR OR AUTHORIZED AGENT IiDATE, H PFPP LY V TED THIS IS OU P R IT i SIGNATURE OF OWNER IIF OWNER BUILDER.., 1LDG IN )ATE I NEW[ J ~ Effective 5/10/99 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:: `7L/!v /i%EI 4 bx;✓e Legal Description: Owner Name & Address: eu5g PeA�,s �t' Tel. # 7k4 %O e:E Contractor. toerL [ _� MN LICENSE # `ZdUiai D `fes' Address • �' 3 '7 f �' � Tel. # %S3 20 -- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IldPROVEMENT - Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: 7Ja&4 e Estimated Cost: $ Vj IV Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Z `� APPLICANT: Tel. # CITY USE ONLY RPermit Fee $ 0 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 [ ] STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION 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 Sizes - *Air ConditioningT r • II 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 Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 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. Effective On January 1, 2000 $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE /D ��-� TEL # e,-5-/- 4-f3 JOB ADDRESS- 11"6 0 ✓%1%' ZeQ' Z Zf/ , OWNER�s� TOTAL BUILDING USED AS� ESTIMATED COST az -` PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heatin&,Unit m) (Hot Water) (Warm Air) $ Trade Name ��;CiOn ® maize No. $� BTU Fuel " - --:® HP EDR Total Connected Load 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE /D ��-� TEL # e,-5-/- 4-f3 COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 existina 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: SUBJECT PERMIT NO. City of Fridley 32315 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � ; � ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r " PROTECTIVE 1 NUMBER REV DATE PAGE OF F/ APPROVED BV CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/13/01 JOB ADDRESS 7467 Melody Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 5 1 Melody Manor 4th SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Russ Pederson, 7467 Melody Dr., Fridley, MN 55432 763-784-9085 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Showcase Builders, Inc., 16026 Lakeshore Dr, Eden Prairie, MN 55344 952-934-1490 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20078380 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK Ij NEW O ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace windows 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. Caulking and flashing for all exterior openings. 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 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 $7,800.00 $3.90 DOES NOT PRESUME TO GIVE AUT OR" TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF NY OTHER ST O LOCAL LAW REGULATING CON- UCTION E PERFORMA F $153.25 Fre $7.80 CONSTRUCTION PLAN CHECK FEE TAL FEE Licens 5.00 169.95 T-GNATURE OF CON•RACT rOR AaTHORIZED AGENT IDATEi H PR RLY VA 10 B DG D THIS ISY UR PERMIT S-GNATURE OF OWNERdF OWNER BUILDER, #DATE, NEW [ J Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY ,(763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT AP LICATION Construction Address: 7 7 4,4 J r Legal Description: Owner Name & Address: � s -�' `c S CN -,Tel. # Contractor. �� -e- `� MN LICENSE # Address: �'CPo 2CP C a - �3 e- k -v-� Tel. # T52 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Length Width Hgt/Ground Sq. Ft Construction Type: Lei neo w &Ltfvx,,eJ Estimated Cost: $ 13 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: (` t �^ d APPLICANT�� T Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ IS -3,-2J Fee Schedule on Reverse Side S S L- -S 3 `I-/' V Fire Surcharge $ !�. cuJ0 .001 of Permit Valuation (1/10th%) State Surcharge $ 3,90 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ C $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 $ I STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMRFR nR FIYTI IMC -a Tn QC IAIQTAt I Cn ^Kf cA�u rI ..- Effective' 6n IGldl`oh 1,1fiiW PLUMBING FIXTURE RATES: CTc�set:':': Urine' I 1'u Shower {^i:^biYibbby :S11k': Wash Tray Y ::>:,> {:4: a7#tt:.. .Floor :i Drain .Msw Auto ;�{:<< ;'�r Washer •s'•'•': :c^:.::;: ',`. `Gag �.. . b�. < ,�•: < °'' `(; ; : Flan a c' ..•N6 :.::.... �. <. -- ataJ�: eaf t. Cies to S tortes Basement $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin / ..g1..;:.:: .5,7(}.'•>S''• . '{• b . :'S •:'r•; . 9 5 Rain Water Leader F loo $ 7.00 (� 02- 2 .1994 Sump/Receiving Tank $ 7.00 :Sti is $10.00 -49. ® :S d.. . Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As Gas Range** $10.00 F. . Gas Dryer** Floor2 $10.00 Estimated Cost L7 PERMIT NO. ® 3 Back Flow Preventer Required ( )Yes () No r Type $15.00 PLUMBING COMPANY_n Reinspection Fee $42.00/Hr Floor r3 SIGNED BY��_ 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 Floo r4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS- ? 6%� IVI elpol(, l ^ 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 (� 02- 2 .1994 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 -49. ® Owner �� ed ��e�Z c�,� % g li 8s, Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer** _(_ $10.00 Estimated Cost L7 PERMIT NO. ® 3 Back Flow Preventer Required ( )Yes () No r Type $15.00 PLUMBING COMPANY_n Reinspection Fee $42.00/Hr SIGNED BY��_ 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 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 2L MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $10.00 Old Opening, New Fixture / $10.00 -- Beer Dispenser $10.00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 Water Heater -Electric �_ $35.00 3 Water Heater - Gas`" $35.00 Gas Range" $10.00 Gas Dryer"" $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 JOB The undersigned hereby makes application fol'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. DATE: .2'/6 OWNER 1?lw s _'S / BUILDING USED AS .,�zw e e_ y l_% m egi ESTIMATED COST Z& C.10, PERMIT NO. PLUMBING COMPANY, Reinspection Fee $50.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance S --bb State Surcharge TOTALFEE $ .50 $ %SSU Approved By TEL N0. Rough -In Date Final Date 20 ®.Sr OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. *"PROVIDE COMMON VENT INFO ON BACK SIDE i 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 BTU Input venting has been examined and is free from rust, deterioration, obstructions, Appliance #2 Type and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer BTU Input specifications including sizing, length, number of elbows and terminatidn. 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 Vent Height include AGA-GAMA Category I Central Furnace Venting Tables for fan Appliance #1 Vent Connector Height assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes ft Length and manufacturer's specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and installed ft Diameter in Type 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 Fumoce 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 :