PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° (5 06
6 5,
Date:
Owner:«•''.'`•" ' Builder
Address _ _ _. __ _ ___ Address ,'
LOCATION OF BUIL G
No. _... Street ...°`' _ .._ _ Pao -of Lot _..
Lot ,, Block Addition o' pub -Division
Corner Lot Inside Lot Setback _. L _ Sideyard _,..n
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To Used •,1. I , .
Front _^ Depth Height _L Sq. Ft /!` 4 �? Cu. Ft
Front Depth Height _tv Sq. Ft Cu. Ft
o
Type of n5ttriletion _ w Est �� be Completed
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 and in :compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $^ permit is hereby granted to
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
clone 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 violatiton7df-An y of the provisions of said
ordinances. f
Building inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas hoofing, sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
CLQ ON, INC -
Owner I a Name Builder„ T �3�mnu
Address Address 2500 22nd Ave. N. E.
LOCATION OF BUILDING
No. �7�� Streeter , Part of Lot
Lot Block Addition or Subdivision d&&,�%�,� � _
� 9
Corner Lot Inside Lot Setback ,ZZ 42 Side -Yard /0 "�
SEWER ELEVATION FOUNDATION ELEVATION agXPZ
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front `�Depth Height _
Sq. Ft. s�� Cu. Ft.
�r
�✓1i� ,�
Front _Depth .Z/1 Height 4 -
Sq. Ft. � Z/Z Cu. Ft.
Type of Construction_Z/ 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 Ordinances and ruling of
the Department of Buildings, and hereby declares that -ell --the facts andTg-p-r-e-qqrftations
stated inthis applicatiop are )rue and correct., -"
if ; wE
(A Schedule of Fee Costs can be found on the Reverse Side.)
BUILDING PERMIT FEE SOMDUIE
Section 2. The Inspector of Buildings shall, before issuing any Permit for the
erection of any building or structltt•e, or for any addition to at y exist
ing build•
ing or structure, or for any alterations or repairs'to any existing.buitding or
structure, upon application therefor, require the payment by the applimat for
such permit of fees to the amount herein below set forth and in the agswer.herein
provided to -wit:
2.1. For any such permit for the erection of.any fire -proof building, other th,4M
a garage, warehouse, factory or grain elevator, or for the erection of.any ,fi -
proof addition, for similar occupancy, to any existing building shall. be At
rate of $1.40 for each one thousand cubic feet, or fraction thereof, i4-'s4Oh
cubical contents.
2.2, For any such permit for the.orection of any fireproof garage, varehousep
factory or grain elevator, or for the erection of any fireproof addition, for
atn lar occupancl, to any existing building.. shall .be at the rate of $1.25 for
each one thousand cubic feet, classified as "fireproof" by Section 502 of the
XLnneapolis Building Code.
H, 0' M
2.3, For any such permit for the
than a garage, warehouse, factory
addition, for similar occupancy,
each one thousand cubic feet.
GARAGES
erection of any non -fireproof building other
or grain.elevator, or zany non -fir proof
to any existing bu4ding. Permit ..00 for
2.4.. For any such permit for the erection of any non -fireproof garage, warehouse,
factory or grain t -levator, or for the erection of any non -fireproof addition, for
similar occupancy, to any existing building or for each such building or addition.
Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical
contents thereof with a minimum of $/x..00.
For the purpoz of computing fees for building permits the cubical contents of azW
building or addition to a un_..orm 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 for each Five Hundred Dollars ($500.00), or fraction 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.
Application for Pourer Plants and Heating. Cooling, Ventilation. ReFrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $50"0.00 ............... 2.50 $
MECH. 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 $ 67-00
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 See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE
ROUGH
FINAL
Dept. of Bldgs. Phone 560-3450
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 applicatioDAmqe true and correct.
Owner
Kind of Building
u
Used as
To be completed about -
®Q
Estimated Cost, $ %f®®
Old New. Building Permit No. Permit No. 4e!� 5 5
DESCRIPTION OF WORN
BEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name 9C'/Size No- C ' A .�
Capacity f,7®0 C'e- BTU -2
'6'0
1"F
Total Connected Load Kind of Fue
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
.Pd
42 Business Phone No- 6 -Z9 --e9zo
.:z
01,
SUBJECT
P®13IT NO.
City of Fridley
963
AT THE TOP OF THE TWINS
PERMIT
BUILDING
RECEIPT.
Ir i
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
i CITY HALL FRIDLEY 55432
%.J
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
3/25/77
JOB ADDRESS 7321 Symphony Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
4
Melody Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Frank Owen Turnlund 7321 Symphony Street N.E.
3 CONTRACTOR MAILADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Basement rec room (Alteration)
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
R-1
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1.
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
$1,000
$•50
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-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL�W 00
SIGNA EOF CONTRACTORO H )ZED AGE (DATE)
ROP RL AL ATED THIS IS YOUR PERMIT
H,E�IlN
A
q/
..SIGN URE OF OWNER (IF OWNER BUILDER) (DATE)
BLDG )NSP
DATE
01,
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: r, ; O k/ J :E tJ ) k VZ J J L.� N � BUILDER:. Si Lr, -
Address:
rAddress: J.3a( �/M p aDp � � T - �) Z Address :
E
Tel. /No . t 1
No.: ai Street: S -J/ p( t� , y S—. U
LOT: BLOCK: ADDITION: L 2L2 D y HAPO/z
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Height:
P100 Square Feet: Cubic Feet:
r e,
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: 1F7V.A m E, Estimated Cost: $
To Be Completed:
/Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional information. A
DATE: 2 ZS- % / SIGNATURE:
Stipulations:
�lCQty�T 9, J
Cl
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings 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 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:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x $11.75
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x $15.79
W301321•.A •' •
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or the cellar to the
average heights 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 mo case shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
NOTE: 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 been constructed will be required before proceeding with the framing.
_CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
i
91-8l, .
4,16051
w iT ur rRlu"i
APPLICATION FOR PLUMBING 'AND GAS FITTING PEF14IT
Job Address 21- SYW-HQNY STREET. NE
Department of Buildings
city of Fridley
Tel. 8571-3450
.PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
tsls:ser Fixtures
x
$3.00
°gyp
3i
$2.00
NOW Fixture, Old Opening
-X
$2.00
M
W
$5.00
Water Heater - to 99,000 BTU,
water
Heater
$5.00
100;000 BTU to 199400 BTU
x
• F
1yp�
A
r
d
Mp
a
C
01
.i
-,__ x
$5.00
G
J p'
.Cr
a F a
O
N
N
a
%v
1st
C e.
. '
tad
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(�) - Nov Fixture, Old Opening
Water
.PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
tsls:ser Fixtures
x
$3.00
Future Fixture Opening
3i
$2.00
NOW Fixture, Old Opening
-X
$2.00
Catch Basin
,,__ x
$5.00
Water Heater - to 99,000 BTU,
x
$5.00
100;000 BTU to 199400 BTU
x
$10.00
water Softener
x
$7.90
New Ground -Run old Building
x
$5.00
.Electric Water Heater
-,__ x
$5.00
GAS FITTING FEES:
1st 3 fixtures /
Additional Fixtures
.Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x $3.00
X $1.00
x $10.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($30.00) -
$5.00
$1.00
TOTAL
S
$ 50
$ ..$,.nn
The undersigned hereby makes application fora permit for the work her
specified agreeing -to do all work in strict accordance with the City Codi
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and co
Fridley, Mn. JL -6-77 , 19
OWNER 0 VEN TURNLUND
KIND OF BUILDING frame -
USED AS r �s
TO BE COMPLETED ABOUT
ESTIMATED COST n
OLD NEW BUILDING PERMIT NO. PEWT NO. -/Ce�
company
MHOMMSCO
Signed By'
Tel. No.
ROUGH INSP.
Date
FINAL INSP. ,
Date
APPROVAL FOR PERMIT 6 c
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
Class "A" Surcharge .50;�
HOUSE HEATING TEST RECORD
ADDRESS 7321 '1' a Symphony St® APT. FLOOR CITY SUBURB Fridley
OCCUPANT Owen Turalund OWNER - -
HEAT LOSS DATE HTG. INST.
SOLD BY MinnegaB00 INSTALLED BY-zy r %, '= 5�
Electrical Work By Gas Line By d C' a
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. 0TH rep D'M®
GAS DESIGN CONVERSION
MAKE Siegl®r MAKE OF BURNER
Model N y Model
Serial 116 r Max. BTU Rating
INPUT 25M MAKE OF FURNACE
CONTROLS
THERT "" Heat Plug
MO T
Valve CC7II v 1712Z X2
Limit
Limit Setting
Model
Vent Size --
KIND OF LINER SIZE NONE
Draft Hood Regularor
Filters Size Number
Fan Setting a Chimney Location
Pilot Type r `-I Chimney Construction
Pilot Make !�
Pilot Model 6°i Smoke Bomb
Pilot Timing cr Draft
Inside Outside
Wiring
.Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure ' $ Percent CO2 Date Tested i
Input CFH' t� Percent 02 Company Testing e
Stack Temp. Percent COName of Tester
Form 235
SUBJECT
P
City of Fridley
2 15382.
AT THE TOP OF THE TWINS
I L D I� I �° D[ D M I
BUILDING
r
Dv Ivv r LR
RECEIPT NO.
COMMUNITY DEVELOPMENT. DIV.
INSPECTION
r PROTECTIVE SEC.
1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/8/79
JOB ADDRESS 7321 Symphony Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
14
4
Melody Manor SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
F. Owen Turnlund 7321 Symphony Street N.E. 786-0225
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,
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Finish_ basement
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERuITS RF-YrnUjRED FOR
�IIIIRffgG
HEATMG, P�.uMSING AND
SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING,HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,000
.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION,
$7.50
PLAN CHECK FEE
TOTALFEE
$8.00
S AT EO CONTRACTOR OR ZED AGE T (DATE)
WHEN PROPERLY V LIDATED THIS IS YOUR PERMIT
SIGNAT OF OWNER OF OWNER BUILDER) tDATEI
BLDG WSP I) Aff E
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alr t-ionc_ Additions, or Repairs) -
'
OWNER: r a ��._��t�'�a�-���
BUILDER:
ADDRESS: _)3al S p �� '� ��-
ADDRESS:
TEL NO: -0
TEL NO:
Construction Location
STREET NO : J STREET: Q.(�
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: P""
Setback:
Sideyards:
Applicant attach to this form two
Certificates of Survey of lot and
proposed building location drawn on certificates
to scale.
DESCRIPTIO14 OF
CONSTRUCTION
Front:
Depth:
Height:
Squane.Feet:
Cubic Feet:
Front:
Depth:
H eight:
Square - Feet:
Cubic Feet:
Type of Construction: ���� �% en AT(o4 Estimated Cost: $ / L�
7b Be Completed:
Alt. A Alt. B
proposed Driveway Width If New Opening Is Desired: -
SEE REVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares that all the facts and
representations stated in this application are t5iiq andco= .
SIGNATURE:
DATE:
Stipulations:
�50
s-0
8 ��
BUILDING' PERMIT FEE SCHEDULE'.
SECTION 2. The Inspector. of Buildings 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 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:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete•Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x $15.75
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x $17.85
ADDITIONAL INFORMATION
For the purpose of computing fees'for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the gain gable of a pitched roof.
• For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 ger 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 $7.50 plus $.50 state surcharge.
VERIFICATION OF FOUNDATION
NOTE: 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 been constructed will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior to the ,
use or occupancy of any structure for which a buildiag permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
M
RATE
TOTAL
>.
N
$-OO
m
x $2.00
U
New Fixture, Old Opening
x $2.00
b•
Catch Basin
Water
01
49
m
A
100,000 BTU to 199,000 BTU
x $10.00
H
E+
C .ci
ped 16
m
$
New Ground Run.Old Building
4J
W
w
x $5.00
$
Heater
+oi
m
c
m
4J
d
W
A C
S aei
a
a+
o N
a
C
.+
c
a
3
g
0 .+
o c
ci
n
ej v
a
M
S
o w
U
a 3
o
as
lec
y
W
rm
1
i
/
1st
2nd
3rd
4th
_LJ
(R) = Future Connection Opening
Connected with Sewer
(*} = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING -FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x $3.00
$-OO
Future Fixture Opening
x $2.00
$
New Fixture, Old Opening
x $2.00
$
Catch Basin
x $5.00
$
Water Heater - to 99,000 BTU
x $5.00
$
100,000 BTU to 199,000 BTU
x $10.00
$
Water Softener
x $7.00
$
New Ground Run.Old Building
x $5.00
$
Electric Water Heater ,
x $5.00
$
GAS FITTING FEES:
1st 3 fixtures x $3.00 $
Additional Fixtures x $1.00 $
Gas Range 'to 199,000 BTU x $7:0.00 $
REPAIRS $•$ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2,00 $
State Surcharge $ .50
TOTAL FEE $
REINSPECTION FEE
x$10.00)
Job Address / 31-21
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 roprosentations stated in this application are true and correct
Fridley, Mn. 5� — v , 19 1
OWNER t 1 �Cl) z d t e1i je did - I .0_.Pi
KIND OF BUILDING
USED AS 4A h AA 5
TO BE COMPLETED ABOUT T (E 0i
ESTIMATED COST_:!,60n
OLD - NEW BUILDING PERMIT NO. PERMIT NO. U
Company
Signed By e
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ROUGH INSP.
Date
FINAL INSP. 9 - y - S --
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
ATTENTION, Ops' CITY OF :FRi�1:1Y
:6431 University"
t Judy Weh -
To lcMinneapolis 1Vkinn. 5 IT
6.13-560-3450
7321 Symphony Street H.E.
SUBJECSRefund of Bldg.; P1bg., &Elect. Permits DASF.,. Noyemberr26, 1979
Please make a check in the amount of $2.50, pWable to Mr. Frank Turnlundy 2012 Walnut
Avenue, New Brightdn, M 55112. This , is refunding Bldg. Permit #15,382 for $7.50 21us
$.50 suFgz arge, 3E.1oct., Permit #130280 for $5.00 pkus .56 sur a and Plumbing
3. permit #8084 -for $9.00 plus $.50 lurch . We are kee 3n 7.50 bookkee in ch es
f-e=its as he sold the hc6e.
on each permit. - He did not use the
r
Thank you,
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