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PRE 2010 DOCSDate: Owner: Address MARCH 9, 1967 City of Fridley, Afim. BUILDING PERMIT Builder Address N0 915'7 CLEMRON, INCORPORATED 701 COLUMBIA BOULEVARD MINNEAPOLIS, MINNESOTA LOCATION OF BUILDING No. 7301 Sheet —SYMPHONY STREET N. Eq _ Part of Lot Lot _ 12 --- Block 4 Addition or Sub -Division __.._� IMODY MANOR Corner Lot w % Inside Lot _ Setback 35' . Sideyard __ 18' & 7' Sewer Elevation _._ 852.33 Elevation 855.33 TOP OF FOOTING To be Used as: DWELLING DESCRIPTION OF BUILDING Front _ 38 Depth 25 Height 20 Sq. Ft. 950 Cu. Ft 19, 000 ATT. GARAGE Front 20 Depth Z4 Height 10 Sq. Ft, 480 CIL Ft. !± 800 Type of Construction FRAME Est. Cost — 22 000.00 __ To be Completed SEWER LOCATION - 81' NORTH OF MANHOLE WATER LOCATION - 93' NORTH OF MANHOLE In consideration of the issuance to me of a permit to coPfet a building described ve, I agree to do the proposed work in accordance with the description abov set fo and in lien all provisions of ordinances of the city of Fridley. $100.00 SEWER C0 CTION C GE In consideration of the payment of a fee of $ 24.00 , permit is hereby granted to CLEMRON INCORPORATED to construct the building or addition as described above. This permit is granted upon the express condition that thele to whom it is granted and his agents, employees and workmen, iz all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sun to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY$ MINNESOTA OWNER'S NAME �j' - BUILDER ADDRESS ADDRESS LOCATION OF BUILDING �� 1' STREET ��i, N0.� v ,��, PART 0LOT LOT/� BLOCR ADDITION OR SUBDIVISION �' 'rL� CORNER LOT 1, INSIDE LOT SETBACK -;r5* e SIDE -YARD /5 4 y SEWER ELEVATION FOUNDATION ELEVATtq Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificatesi DESCRIPTION OF BUILDING To be used as; Front s �Dept�Height Sq. Ft. 9S a � � Cu. Ft.^Z 2 a Front -0 Depth. ,fD Height Sq. Ft. Cu. Ft. Type of Constructions Estimated Cost To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings .of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATES SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). ler �ti✓�� BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory;or•grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to.any existing building, shall beat the rate of $1.40 for .each one"thousand cubic feet, or fraction thereof, in such cubical contents. 2.2 For any such permit for the erection of any fire -proof garage, warehouse,.factory or grain elevator; or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the. rate of $1.25 -for each one thousan&,cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building, .other than a garage, warehouse, factory or. grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one "thousand cubic feet. GARAGES 2.4. For -any such permit.for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection -of any non -fire -proof addition, for similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the. ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fracluion thereof in the cost of. all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. STORM REPAIR DAMAGE FEES: Residential: Estimated Cost of work up to $500.'00 -$5.00 Estimated Cost of work c-fc _.0 Commercial; Estimate�ost of coni°. �r• _:� � 101,00 Estimate ost of work over y34'10.04) - $�.. _ s0 Application for Power Plants and bleating, 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 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ 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: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone 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. Owner Kind of Building JJ s Used as To be completed about Estimated Cost, $ Z `Y/')— Old-(New Y') r Old New Building Permit No. e Permit No. DESCRIPTION. OF WORK HEATING or7071'& NTS—SSteam/', Hot Wa ,Warm No/ / r Trade Name-(- �� fz-�I-� Size No A v �® Capacity /� Sq. Ft. E.D.R �� BTU H.P. Total Connected Load l® fT l Rind of Fuel- BURNER ue BURNER — Trade Na-- Size No Capacity Sq. Ft. E.D.R. BTU H.P. MAY N. WELTER HEATING CE3, . Signed 8 _ _ CF9UAGO AVE—. INk,P��S� 42 Business Phone No- (REMARKS-OVER)��.� �� I j t r Application for Power Plants and bleating, 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 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ 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: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone 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. Owner Kind of Building JJ s Used as To be completed about Estimated Cost, $ Z `Y/')— Old-(New Y') r Old New Building Permit No. e Permit No. DESCRIPTION. OF WORK HEATING or7071'& NTS—SSteam/', Hot Wa ,Warm No/ / r Trade Name-(- �� fz-�I-� Size No A v �® Capacity /� Sq. Ft. E.D.R �� BTU H.P. Total Connected Load l® fT l Rind of Fuel- BURNER ue BURNER — Trade Na-- Size No Capacity Sq. Ft. E.D.R. BTU H.P. MAY N. WELTER HEATING CE3, . Signed 8 _ _ CF9UAGO AVE—. INk,P��S� 42 Business Phone No- (REMARKS-OVER)��.� �� City of Fridley, Minn. BUILDING PERMIT Date: May 19, 1967 Owner: Address Clemron Inc. No. 7301 —.. Lot 12 Corner Lot -- Sewer Elevation To be Used as: J'7 e,31 N9 925'7 Builder A. B. C. Blacktop Co. Address 1308 Main St. N.E . LOCATION OF BUILDING Street — Symphony St. _. _____ Part of Lot _ Block 4 Addition or Sub -Division Melody Manor 4th _ Inside Lot _ Setback --- Sideyard _ _—_ Foundation Elevation ____ DESCRIPTION OF BUILDING Front _ _ Depth Height _ Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Asphalt Driveway Est Cost — $166.00 _ _ To be Completed ....._ June 1, 1967 In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth in compliance with ail provisions of ordinances of the city of Fridley. ; , In consideration of the payment of a fee of $ 5 •9 , permit is hereby granted to_A. B. E. Blacktop Co. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLA.RENCE BELISLE Building Inspector NOTICE: This permit does not cover the constreetton, installation for wiring, Plumbing, gas heating, sewer or wafer. Be sure to no the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME L ILS G BUILDER t C 44 c -AT 0 ADDRESS ADDRESS -IY7 19 1 /O ILI' LOCATION OF BUILDING NO. / 3 ® % —STREET—S PART OF LOT LOT / �P BLOCK dV ADDITION OR SUBDIVISION ► �n CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. To be Used as: DESCIPTION OF BUILDING - Front Sq. Ft. Front Depth Height Cu. Ft. Depth Height— Sq. Ft. Cu. Ft. Type of Construction L T /U1 (1?j stimated Cos96, � ST To Be Completed 6 � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling.of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE G SIGNATURE (Schedule of Fee Costs can be found on theAeverse Side). BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or for any addition to any existing building:.or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Uniform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each one thousand cubic feet. For the purpose of computing fees -,for building permits, the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gabla of a pitched roof. For repairs or alterations to an existing structure, the fee -shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or• fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location- Area 1 or 2. A . Application for Power Plants and Healing. Cooling. Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ............... I .......... $10.00 $ Replaceme 't of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ 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 GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 200 �7 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ 1-1 AIR CONDITIONING eo'-T FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ a ROUGH FINAL Dept. of Bldga. Phone City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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 true and correct. Fridley, Minn 19 Owner Kind of Building Used as To be completed about tf Estimated Cost, $ Old—New. Building Permit No. �r'7 Permit No. HEATING or POWER PLANTS—,Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Rind of Fuel -,t 0g, 2—' BURNER — Trade Nam ' '? Size No-__ _-/6,36 Capacity (REMARKS -OVER) s Business' 1 I 1 City of Fridley, Blinn. N° 9334 BUILDING PERMIT Date: — June 23 1967 Owner: Clemron Inc. Builder A. B. C. Blacktop Co. Address 701 Columbia Blvd. Address 1308 Main ��-c—N--.—E . LOCATION OF BUILDING No. 7301 Street S3MhSLpy St. Y_ — part of Lot Lot 12_ _ Block 4 Addition or Sub -Division . Melody Manor Corner Lot — Inside Lot Setback Sideyard Sewer Elevation _ — Foundation Elevation . To be Used as: DESCRIPTION OF BUILDING Front _ __ Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Type of Constructiox�gEh—It Drive Est. Cost $174.00 __ To be Completed July 5, 1967 In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above t for h mpliance with a& provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $—,5-M—, permit is hereby granted to A. B. C. Blacktop Co. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building motor NOTICE: 'this permit does not corer the construction, hutaMon for Wking, plumbing, gas heating, "War or water. Be sure to an the Building Inspector for separate permits for these Items. z APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME 0 (L) G BUILDER 4, 6 Q, &,4c&n4e Q,0_ ADDRESS '2 G - C0 L q r;1 f5,� 6 L U,6 ADDRESSCD ('/ ('t � f, 14j, _ LOCATION OF BUILDING NO. '� 3 O / STREET v 14 0 r.)PART OF LOT LOT BLOCK "� ADDITION OR SUBDIVISION ) &�, CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construct ' on Fi s I f [ uL Le Estimated Cost 7 To Be Completed Li/_ V The undersigned hereby makes application for ,a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DAT vZ�kp SIGNATURE �✓ (Schedule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or for any addition to any existing buildi.ng:or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Uniform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each one thousand cubic feet. For the purpose of computing fees -for building permits, the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any -permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location- Area 1 or 2. 11 11 SUBJECT . City of Fridley 2_965 1 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f PROTECTIVE 36A3 1 � 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED B`1 1 J` 612-571-3450 910-F15 6/9/99 JOB ADDRESS 7301 S phony Ste t 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 4 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kevin Knutson 786-5819 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sun Mountain Constr. 883717-09.18 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 O NEW O ADDITION O ALTERATION X® REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 20 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State BuildingCode. 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 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 $1748 $.87 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION ANY OT R STATE OR LOCAL LAW REGULATING CON- TRUCTI O THE PER RMA E OF CONSTRUCTION $63.15 Fire SC $1.75 PLAN CHECK FEE TOTAL FEE A&� 7 65.77 SIGNATURE OF CO ACTOR OR AI1RIZEO AGENT [DATE, WHEN OAT D THIS Y UR PERMIT �PROPERLY BLO INS MATE SIGNATURE OF OWNEA,IF OWNER BUILOERI IDATEI 11 NES ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FANMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �7ygvt �ll� M � Legal Description: Owner Name & Address: Tel. # Contractor: ��f%`/%l oma' C j p� MN LICENSE # Address: �Q /L/ \` ,� - Tel. # ZZ �✓�-5' O � 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:�r� Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: t7I APPLICANT: lGlezt., Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ 63, /- - Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: S� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] . . .O BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 11 SUBJE& City of Fridley 2174 AT THE TOP OF THE TWINS BUILDING PEQMIT ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ______ v 6172-3004 601 r : PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV OATE 9/18/01 PAGE OF APPROVED BY (��'_- �.J CITY HALL FRIDLEY 55432 L A .-�. 612-571-3450 910-F15 JOB ADDRESS 7301 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kevin Knutson 7301 Symphony Street NE 763-786-5819 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW )p ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 12' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PEIRIV '0 Before diggingcall REWIRED FOR: ®r all ut4•` locations (MIRING HEATING Gqe -00 02 P�.IJINRINd AND REQUIRED y 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. OWLG. 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 $1,656 $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $60..10 Fire SC $1.66 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F TOTAL EE $A.59 I ATURE OFC SRA R AUTHORIZED AGENT IDAi I HE P L, HIS IS PEp _ g G (NSP -ii// gAtE NATURE OF OWNERd NER BUILDER, I TEI 11 NEW [ l Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: A-, , Legal Description: Owner Name & Address: e V r'N Lvn qx v v Tel. # Contractor: 0 1--, (O.,f MN LICENSE # Address: Tet. # 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 s Hgt/Ground P Sq. Ft. e OTHER: Construction Type: ��'7 Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: APPLICANT:9:,. Tel. # 7 1 - W6 - SAE f CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ l Fee Schedule on Reverse Side $ 4,67 .001 of Permit Valuation (1/10th%) $ , R3 $.50/$1,000 Valuation $ $1150 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] 1 BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Only The Home Dopot #,LO:•2, 565:; oo._.N• ; T, NE, FRIDLEY, MN 55432, (763 Sat Aug 25 !.3 - 302 -. t�k: 2"01 The material,; .'.n �:hite deck tisi L: c c st $1003.17 File saved �Ls 7 F . \dn�.dack `% J"'SCBE45 . DEK 3D View r The Home Depot #2802, 5650 MAIN ST, NE, FRIDLEY, MN :55432, (763 Sat Aug 25 13,.,32:56,2001 File saved as. f:edn\decks\3250BE45.DEK Deck Layout �-� ( 0�tlN� atilt '�zeikx( ons wffly 075-,M�bway 00 AIE. ENGINEERING INC. mil,17eiola Val SlInvI440" Enyli7eers ur vey&�5 sf caste: of SUPV•)r for E, Ir M DEVELOPMENT CO. Ij J 10 CD or X allihali I 1.. 8(00.1 .7 :5 lE— tA U F— N. F— tmo-v P -M. ZtsoN QtNOTES U'rit-l"T'l 6 DRAINAGE MASS s 1. 'ELEVATIONS ARE PROPOSED -z FrIkST FLOOR. F-t-F-V^-V%C)V4 TO IMPE 2.-S FEWC ABOVE G"Ut4t) F-I-F-V-.SHOWW --:C 1\4.,ANC)P— LOCI-e— A- MF—I—OD 1. d lePre- eIWON017 ore survey Awndmies e*e ahom- Awu4hwd load, -e ad aw v ahmeals , t� ' . fm v or *7said I /a 7d. As -wr vey e4 6y me Axi day SU6U.Q8M LEN61NE6RINC7, INC. Cn or$ 5urryor.5 n102k'.;o :Iso 00 00000.55 04 do :qaom ;o 3so:) 75plawn f7 IT t ols Building Inspections 7.63-572-3604 DATE -LO O -a— 02 SITE ADDRESS 73 6 THIS APPLICANT IS: PROPERTY OWNER/ TENANT AUCHANICAL I D CITY t ,` D YOUR E-MAIL ADDRESS 0 OWNER >CONTRACTOR Permit No.: - �, F",awl-w NAME: 4 0111 W0 61, ADDRESS: -13oI S,,e-�r®����c. �J1 CITY_rote ID��_ STATEJ`/eJZIP���$c� PHONE: -743- '2 �' S 4a--9 CONTRACTOR COMPANY L.`. L - SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 90 A�� ""` 8� N F CITY �e STATFI'6r-' ��� APPLICATION PHONE '? - -7 (at ? FAX PERMIT TYPE SINGLE FAMILY O TWO FAMILY 13 TOWNHOUSE TYPE OF WORK: ❑ NEW OREPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK i —YI f��.,o/dccl�rt r�� ��® �►�t �- 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)MODEL: �9f�R� -116 d,°1�l E� SIZFJBTU ® 4U Equipment Installed MFG: V tr SIZE/BTU MFG: MODEL: MFG: MODEL. SIZEIBTU A/C $25.00 FIREPLACE (GAS) $15.00. GAS RANGSIOVEN $10.00 IR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 A GAS UNIT HTR $10.00 BOILER $35.00 �-FURNACE $35.00 POOL HEATER $35.00 _CHINBJEY LINER $10.00 GAS DRYER $10.00 VMM ATOR $15.00 DUCT WORK $10.00 —GAS PIPING $10.00 — .:+fir:!. .. •�._.. v,.vaaa.<.w.-..�.,-r",t,-...,wv:. H - y..��., .. ,... ...., .._..... ..... .. ......._. _. _ Permit Fee $ '4's 00 Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ SS'-. C6 Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 _� x $35.00 = $ State Surcharge = $ .50 Total THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. la� SIGNATURE OF APPLICANT �� _ n r n' �.n PRINT NAME l /' 1S 1� 9. DATE I o T City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESAADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Nawral Gas or Propan&7GC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. RMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances ]FGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction ]MC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346:0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations HOUSE HEATING TEST RECORD ADDRESS le APT. FLOOR CITY SUBURB OCCUPANT 4Z 4Z / OWNER- HEAT LOSS DATE HTG. INST. GAS CO. METER BADG SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. GAS SI MAKE MAKE OF BURNER Model 4 Model Serial %��r°�-•� Max. BTU Rating — INPUT IA!2 5 MAKE OF FURNACE Model CONTROLS THERMOSTAT ���+ ►leaf plug Valve �� Limit' -__� Limit Setting Fan Setting Pilot Type Pilot Make Pilot Model Pilot Timing gc Z_,gL_� UNIT HTR. OTHER CONVERSION Vent Size A � / KIND OF LINER IZE —NONE Draft Hood Regularor Filters Size Number Chimney Location Inside Outside Chimney Construction Smoke Bomb Wiring Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. Pressure .,•�Pce t Cpm Date Tested �' Input CFH ,ide— P n2 - Company Testing' Stack. Temp. 17M Percent CO — sZ2 Name of Tester Form 235