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