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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 Tel. No. 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, SIGNATURE REPLY. IG ; ; DATE SIGNATURE