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PRE 2010 DOCSSUBJECT PE _ City ®f Fridley ® _ 17481-8 AT THE TOP OF THE TWINS BUILDING PER I Ir • __ COMMUNITY DEVELOPMENT DIV. /l`.8 r PROTECTIVE INSPECTION SEC. ' I CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY 612-571-3450 910-F15 5/10/84 JOB ADDRESS 7396-98 Symphony Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Randy C. Anderson Construction, Inc. 11340 Sunset Avenue N.E., Circle Pines, MN 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 55014 780-4818 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Double Bungalow 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 52' x 30' Double Bungalow/Garages SEPERATE PERMIT'S REQUIRED FOR WIPING 9 CHANGE OF USE FROM HFA.TING, PtUMI31NC, AND SIGNS. STIPULATIONS provide City with. copy of verifying survey before capping. Provide sod in the front and side yards. Provide a hard surface driveway. SERVICES OFF SYMPHONY STREET SEWER LOCATION: Approx. 7' Deep In Street. 49' S. of M.H. (Inv. 859.65) WYE ELEV: 859.41 TOP OF FOOTING: 862.41 Minimum WATER LOCATION: Approx. 11' N. of Sewer Service WAR IN ,.s CITY OF FRIDLEY DOES NOT GUARANTEE Before digging call local utilities •!"s, JRACv OF UTILITY LOCATIONS AND ELEVATl(: TELEPHONE --ELECTRIC - GAS Etc, IS FOR INFOkMATION PURPOSES OINLY , REQUIRED BY LAW USING r SHOULD VERIFY THE INFORMATIp;d )N THE SIT► 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 1560 +1080 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $83,450 $41.73 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- CTiON1,01XHE PERFORMANCE OF CONSTRUCTION. $385.00 $850.00 ®PLAN AN CHECK FEE TOTALFEE E , 25 $1,372.98 ' SIGNATURE OF TRACTOR OR UTHORIZEDAGENT IDA EI yy ER IS YOUR PERMIT 9N�PR�O �AT�tVTHIS 6d Id' � �s BLDG INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) N City of Fridley Effective !4/1/814 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 1 q&--q-- Legal Description: / g��-57 &15;'S Property Owner/Address:/JA 'C.')#g (T 2A,< Tel. # Contractor: �Y+���c-yvs��� `c��s-�-' �,[�C Tel. #ZS"�'`GEBC$ Address: //3 t-1® SvA-1S� &2L� Z.cf 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 S Width '5 611 Height Sq. Ft. GARAGE AREA: LengthI �s'___ Width 30 Height Sq. Ft. _ DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot � Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: 6:�epCP F9ft6 tE Estimated Cost: $ od Approx. Completion Date: eer Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: f APPLICANT: / "�®y (?'c�p�iCS�/�� Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: +U(Z Ci 69 q CITY USE ONLY $ �,� Fee Schedule on Reverse Side $ �� � 25% of Building Permit Fee $f.% $.50/$1,000 Valuation $ RS0,®C2 $425 per SAC Unit $- Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary CK $ a 0 HEAT IHSS CALa ATIONS DEPARTMENT OF INSPECTION hUNNEAPOUS. MW. Weatherstrips Guide Construction No. Insulation Windows ( Doors Reference Out. Wall Int. Wall Ceiling Roof r Kind How Applied Yes --No es o 19 ;1 Fl.10 / , L" Room Length / Width Lifeight �� /N rM I B/::'D Room I l ength /.t,Width J ',— Heiaht Wiadows and Doors—Crackage and Area d Width Height No. of Limma ft. Ana No. of pane of pace Neots of crack p. tL No. Width belch&No. of 1.laeal iL Ana of paac of pace lights of crack so. CL y O O Ceiling LZ Coe£ Btu In6ltratioa Q �o O Glass p Exp. wall Coef. Btu infiltration Class Exp. wall Net e. -.p. wall Int. wall 1//D I p ZQ!449 O O Ceiling /O 7 2-0 Floor Floor 3 yp total Btu. S K 7�(� Required sq. ft. E.D.R. or sq. ins. WA. Leader area /. Fl.j ,Y Room I Length Width / 2 Height _ Windows and Door; rackage and Area Wldtb 11e1911 No. o! 1[t. Area Ne. et pane of was Itebte of crack am. tt. Btu Infiltration Glass Exp. wall Net exp. wall Q Int. wall Ceiling / Q Floor y Q Total Btu. Required sq. ft. EDR or sq. ins. WA. Leader area '. ell.I.4-LLlvb/_,Ream ILenath / t"Irmhl• ii Ne616t Windows a Doors-Crackage and Area d Width Height No. of Limma ft. Ana No. of pane of pace Neots of crack p. tL �b FjqL wall Net exp. wall Int. wall y O O Ceiling LZ Coe£ Btu In6ltratioa Q �o O Glass p Exp. wall Heittht Flex exp. wau lat. wall Ceiling Floor Total Btu. RequirqLmq..h.4"-" HFLA IWAV� Windows and Doors—Crackage and Area d Width Height No. of Llaeal IL Ana No. of pane of vane lights of crack p. tL �b FjqL wall Net exp. wall Int. wall y O O Ceiling LZ Coef. No Infiltration �o O Glass p Exp. wall Heittht Net exp. wall 8 �, lat. wall Ceiling Floor /O 7 2-0 Total Btu. / ZO Required sq. ft. E.D.R., or sq. ins. W.A. Leader area % j TFI.Ie h m I Length / Width / -,ei ►t Windows and Doors--Crackage and Area Wldtb Hel6bt- No. of Ll tt. Area N. et wne o[ pane liable of crack ee. [t. Lnfiltration d Glace O o O FjqL wall Net exp. wall Int. wall y O O Ceiling LZ D Floor O Total Btu. Required sq. ft. E•D.R. or sq. ms. W.A. Leader area 3 0 0 F1.1 Room I I.Anath Width Heittht Windows and Doors--Crackage and Ana width No. at Lineal It. Area No. of pace et Daae lights of crack eq. ft. Coef. Btu LWt:aton Class EmL wall Net exp. wall Int. wall Ceiling Floor I ".1-1,_ 11 Required sq. k E.D.R. or sq. ins. WA. Leader area I c6aLord filunnmy(4a&"A 6875 Aovy KS N.E. Scars Tsr�,� ENGINEERING, INC.��°'° C;vt! fo M,m>irpu! Saifel4-5066 r9 � Er,�ttrerrn C n ince rs E Sur vecyorS cert1flclte of su3rveT fop E & M DEVELOPMENT CO. 741h AVENUE N. E. EL. 868.® i i�t 'es Bow 1 Ell C �GIft c. TElEPH4NE REQUIRE1' 4 LAIN LAIN -- EL.►868. Z �1 LCD 1 9941- �-- !.: 111MITY LLC ATIONS AND ►.b'st 15 Pop 1NFJi;•',1ATt0N PURI PCS a C%—, +J TN' cJTs GROUKD ELEV. 869.5r a HOUSE CORMCO o OENOT£`3 IRON le d_0 T-40 .0 .J z EL.. 610 s 16- `•'� 868.4 ZtttC! _ Mr%OTES U-TN..I'T`( &DRAINAGE EASEMENTS I4Ht E 1. ELEVATIONS ARE PRoPOSEO Z. FIRST FLOOR ELEVATION TO 8E 2.5 FEET A50VE 6RoUND ELEV. SHOWN LD T S P)LOCK 5 MELODY MAN OR I lweby certify tW Ibis is o irue m7d wract repre5entsh0l7 ord swrey el& ,�undorres gP#jr obar k1C1T ped lord, and oj'#r -,ow&17 grgll bw/drn9s , &rron , mrd tail risible manmchmenfs , !`py,{� ar on sad /arAd. As sur vetted by me flus _ cbtf Sd, 44dm 6er A.O. SUB UR8AN ENGINEERING, INC. SCA 1---3 0' c n &- 5ur s sc:=, (^ 1 . 61-C) xcz, 5// �S M.«. 5:6I 9L25' .V G7YOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 June 4, 1984 Mr. Randy C. Anderson Randy C. Anderson Const., Inc. 11340 Sunset Avenue N.E. Circle Pines, MN 55014 Re: Verifying Survey for 7396-98 Symphony Street N.E., Fridley Dear Mr. Anderson: Please be advised that the verifying survey submitted to the City of Fridley on June 4, 1984, for the above address, is not acceptable. It is either drawn incorrectly or the northeast corner of the house is to far forward on the lot. If the certificate is drawn incorrectly, it must be redrawn or if the house is closer than 35 feet to Symphony Street, it must be moved or a variance approved for the present location. If you have any questions, please call me at 571-3450. Sincerely, CLARK Chief Building Official DGC/mh . . • V 11340 Sunset Circle Pines, May 31, 1984 City of Fridley Building Inspection Department 6431 University Avenue N.E. Fridley, MN 55432 Darrel; Avenue N.E. MN 55014 Enclosed you will find two copies of a verifying survey as stipulated on the building permit for the duplex I am constructing at 7396-98 Symphony Street. I hope this meets with your approval. Thank you very much. Sincerely, RANDY C. ANDERSON CONST., INC. Randy C. Anderson President UBURBAN ��NOIN .ERIN® INC. 0 da Civil & Mwuripol Engineering • Rott Testing • Land .Surivying • Land Plamang Main Office 5716066 6875 Highway No 65 N.E. Minneapolis, Minnesota 55432 South Office 8906510 1101 Cliff Road Burnsville, Minnesota 55337 Mortgage Loan Survey for RANDY - G. ANDERSON 74TH AVENUE AIE. —53.01 6 DRAINAGE & UTILITY EASEMENT o ! 'mss :tit_ / r `,�' \�• vis o�w. < y I_; scale : LOT 5, BLOCK 5, MELODY MANOR CITY OF FRIDLEY , ANOKA COUNTY I MINNESOTA This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from, or on said land.- This survey is made only in connection with a mortgage .loan now being placed on the ,property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the :1reo5on of such mortgage. It is understood and agreed nq�Pmonur hove been ced for the purpoao of establishing lot linea or boundary corners. Dated this_$LVaoy of7 A. D. 14 ' SUBURB/! NGINE RING, INC. Engineer r o►s by W_ moi rumisneo: mii nlgnis neservea Main Office 5716066 ..6875 Highway No. 65 N.E. N0INBERttitt9 MinneapoUs, Minnesota 55432 El - - South Office 890-6510 11 D-1 '1101 Cliff ROdA t'uf! & Munrr�pal Enguoeeeigga Sod'Testmg"Land Svrueyurg RLand -Burnsville, Minnesota 55337 Mortgago `roan Survey for RAN 93.O f /1-61 x7DRAfWACE & UTILITY EAS&k8 scale : f" '=30*1 This is a true a11d. iOTreC.t 1tTl7Pefietltiit.rrR Of a surrey of the btiundaiies. of the land above, described and of the locafign of ali , bui(EiiwgR� if any" the'r nj geed all vis7hl® enaroachn+ntt ng; €i an r� from arson , saM',land. This Garrey is Anode only in conneetiat► with la inortgage,,lat+e now beim. 'pilaeed on the d property enno liability is assltme-d except to the holder of such fitsprtg iO at, any, other intesanst aCq#IF# by thfr roosoe oll such toortgap*. it is understood and',agreedtgnunlon haler been sad. 1�hir purpose, bf .a'tablishing ittt lines' ar boundary cars iA,atad H,, aY e1 �q� l�I+I i�fE it1 � � s 04 wl;, - ' y. �a 1 r v i.',.'i►'►Tffk r Not Published: All Riahts Reserved CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Ettective Aug. 1, 19bl Job Address ) 3% o-nA /o Sit f Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct �JJ Fridley, Mn. pA�py , 19 4-1 OWNER 6?" -n 8V KIND OF BUILDINGN, USED AS TO BE COMPLETED ABOUT a, m U x d Water °149 OLD ILDING PERMIT NO. PERMIT NO. � /'7 $ E 4 m 8 Future Fixtures ro w a �" a company Heater Old Opening, New Fixture .-mi m 1.50 m m n CA9®eo +ci ij 3 $ m $ Tei. No. Blow Off Basin $ Hm $ ,ci x 5.00 $ Rain Water Leader $ 5.00 ui 3 o w y g u $ Date i� o s lec W v D o`� r $ 7.00 $ FINAL INSP. Hot Water Heater aU' c5 5.00 $ /D.pO Date Gas Range $ 10.00 $ Gas Dryer $ 10.00 rd' APPROVAL FOR PERMIT 0- ALL OTHERS AND/OR REPAIRS AND ALTERATIONS �- 1st 1' ra- State Surcharge $ .50 Reinspection Fee $ MINIMUM FEE FOR ANY PLUMBING 2nd ($15.00) TOTAL FEE $ 50.E PLUS THE $.50 STATE SURCHARGE 3rd 4th (R) a Future Connection Opening Connected with Sewer {*) - New Fixture, Old Opening Water Ettective Aug. 1, 19bl Job Address ) 3% o-nA /o Sit f Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct �JJ Fridley, Mn. pA�py , 19 4-1 OWNER 6?" -n 8V KIND OF BUILDINGN, USED AS TO BE COMPLETED ABOUT RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO,./ RATE TOTAL OLD ILDING PERMIT NO. PERMIT NO. New Fixtures /'7 $ 5.00 $%D.DG Future Fixtures S 3.50 S company 1 A:23A Old Opening, New Fixture $ 1.50 $ Signed By n CA9®eo seer Dispenser $ 4.00 $ Tei. No. Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ ROUGH INSP. Hydraulic Valve $ 5.00 $ Date Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ FINAL INSP. Hot Water Heater $ 5.00 $ /D.pO Date Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT ALL OTHERS AND/OR REPAIRS AND ALTERATIONS is of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 ($15.00) TOTAL FEE $ 50.E PLUS THE $.50 STATE SURCHARGE Effective Aug. 1. 1981 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE a - �O RESIDENTIAL RATE TOTAL Job Address Furnace Shell and Duct Work, (Also replacement furnace) $ 20.00 $ Department of Buildings. 6431 University Ave. N.E., Fridley. MN 55472 Burner City of Fridley Gas Piping $ 10.00 $ Tel. 0571-3450 (piping needed with new furnace) $ 10.00 $ The undersiqned hereby maked application for a permit for the work herein Gas Range specified aqreeinq to do all work in strict accordance with the City Codes Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. 81J . 19 P34 `j All Others/Repairs and Alterations OWNER It of Value of Appliance or work $ - KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS 6 it of Value of Appliance or Work $ TO BE COMPLETED ABOUT ESTIMATED COST -10 o State Surcharge $ .50 OLD NEW ILDING PERMIT NO. PERMIT NO. TOTAL !EE $ Reinspection Fee ($15.00) S o O•z) DESCRIPTION OF FURNACE/BURNER Rough Insp. Date Final Insp. —/ I - 95' Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification fort with replacement furnace permits •Air Conditioners can not be placed in side- yard without written permission from adjoining neighbor. HEATING or POWER PLANTS, Steam, Hot Meter, Wart Air- No. Trade Name Site No. Capacity sq. Ft. CDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company :S �✓ — Siqned By A Te 1 . No �" v I sueiEtr PERMIT NO. City of Fridley 31064 AT THE TOP OF THE TWINS BUILDING P E R MI I T COMMUNITY DEVELOPMENT DIV.T15-:771 i LL 771" PROTECTIVE INSPECTION SEC. 1 � i NUMPER REv DATE PAGE OF APPROVED 8r i �'� CITY HALL FRIDLEY 55432 -_-•����"' L 612-571-3450 910-F15 6/15/00 JOB ADDRESS 7396 S hony St. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Okes 7396 S3mphony St. 763-784-7096 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 11 REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Garage Service Door and Front Step 9 CHANGE OF USE FROM TO STIPULATIONS For stipulations see attached plan. }t TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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 $450.00 $ •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- Fire SC $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $23.50 .45 PLAN CHECK FEE TOTAL FEE $24.45 OF CON'RACTOR OR AUTHORIZED AGENT W PROPERLY VALIDATED THIS IS YOZERMiT 411GE %iOATE� yy �SOF OWNER,IF OWNERSUiLDERs iDATE� L SNS rjA I NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: r73e?(,' �DVEf t j' Fel MG M (V . -tsfLc/3 2, Legal Description: Owner Name & Address: h8v I C) 01<I: -s Tel. # 7�o3 7$L/' ` Q9 (o Contractor. YW ti M MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: 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. DECK AREA: Length Width Hgt/Ground Sq. F OTHER: CC AC�r:'V iC�jc3K are Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ _ $ DATE: r 60 APPLICANT: (f, Tel. # %3&y'®� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $_ Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control $ $1100 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ dd / dool-,e- ex5odooz /a f) da,- Ac, w3s,�j woo zg ,// Z- -21&g7 -'El rr.9 _.LMd2/z,en) In/c+L� �Sv��J '%/✓© — b/Y/ Sl.k'� T 2 3LLz3,a) v J C)-?1no� 10 kil�v�i,� e/ /y i 10 kil�v�i,� e/ ---------------- { Td ale �ov�2 o�eez '3 !�>,g< f r�.2 /�/til �' o �F ,E�•s 7�.✓ U���, �� MSN Ll a►, �� "A h �a n Baa -les at�o�J n aF d� 1s -s. eaGr oto o d etvv ° j gyp. (O-W!Y 7?j'lB w -,,t l k f1Z�6'49 n✓ d,v Tn)N -)dc n✓ � il It � w r JWif rfW7 /71g 4 �r c 146,47 o0i /w daG,vs �[ %pG11 e� �N LSh Ggn/1,9 i8o �y S u e ect fv QQOutc% swiokc s to c-api &\ s�6e, m ,R Mm o house I(M4 on eack\ leuf.I _j�_aqL�44�rA- �rtk ?3Xi Q.3 u r Ns§Oszj- shall 'cEne9min nouyu and nA (ssf (,N JQ P4 a#-4kAu4k cui Cnd OC .71 V€ �apckkop 5r N.-.. FLASH OVER ALL EXPOSED EXTERIOR OPENINGS T--,:) lop cl .,d.v 0 ol CITY OF FRIDLEY PERMIT NO.: 2004-01489 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 572-3604 k'AX: (763)571-1287 ADDRESS : 7396 SYMPHONY ST NE PIN : 113024240138 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE : DUPLEXES CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER OKES DAVID D & DIANNE E 7396 SYMPHONY ST 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 wort 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 regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t 1c11n I y 1jU1N0PiG I P-rmii No. Q=_70aq Inspections a LAIL -PL J�ONI i r REESIDENT -A— I Received Bj 1 763-572-3604 CITY OF FLEA Date Rec'd: 763-502-4977 FA:K EFFE= i_;,m DATE YOUR E-MAIL ADDRESS SITE ADDRESS Syynvhirl� ti -6 ' THIS APPLICANT IS: '�CO'NTRACTOR 13 OWN6 N PROPERTY NAME: 1&06_r 4- T V'9 14 44 OWNEW ADDRESS: '4kjaW S-t-wl� CITY rvidkw STATEW ZIP_ TENANT PHONE: CONTRACTOR NAME: Loy U+q plyw* I4 SUBMIT A COPY OF YOUR STATE STATE LICENSE 0 MXP DATE LICENSE, BOND AND STATE BOND * W -DATE CERTIFICATE OF ADDRESS: 'R7-qV Wall st t4e *-m ITY J�Ml&�j STATE zip INSURANCE. I PHONE _Iu�_ 154-17,119, FAX at', - f53-ald PERMIT TYPE ' ,SINGLE FAMILY 1: TWO FAMILY 0 TOWNHOUSE ME OF WORM ONEW FEPLACEIVJENT DETAILED DESCRIPTION OF WORK eg PER MS 1613.665 the permit fee is a minim -urn of 515.00 or 5% of the total cost up to 0500.00, whichever is greater, for the improvement,, installation or replacement of a residential fixture, excluding the fxtures.'(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 = plus -50 surcharge OR FOR PROJECTS WHERE LABOREXCEEDS 5500, FM ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE 315.50. — BATH SINK/LAV —PLOORDRAINS —SHOWER _WATERPIPING —BATHTUB — GAS PIPING (NEED CITY LIC) SWIMMING POOL .._ WATER SOFTNER($35) — CLOTHES WASHER — KITCHEN SINK WATER CLOSET — BACKFLOW ?REV. ($15) —DISHWASHER — LAUNDRY TRAY —WATER HEATER ($35) FOR IRRIGATION —WATER METER OTHER Permit Fee Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50- Number of fixtures @ $15.00 x $15.00 = S OR Number of flxtures @ $35.00 xS35.00=S TOTAL DUE S State Surcharge = $ .50 (Mr'rimum $15.50) (MINIMUM S15.50) Total =$ 16 S THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbingpen-nit 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 on site: that the work will be in accordance il with the approved plan in the case of all work which requires review and approval of plans. 11 C 4 aw_-er __ i I 11�k 1; 4� 0 INTNAME, Oek_ SIGiqAT1JRE-- OF AP DATE P 6 "'PROVED BY V,jp V I — PLUEry SZ7,40'TE: '3EPAR�'TE'-- RDitIT.7 , R.E­'7R'E01j'M-D FOR SUMDINCLELEC=CAL. VND !)f 774dle'�r 3uiladwz 1nsDe,_-zJrLons 3 en.arnment F