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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMITN° 5L ao Date: r -- , It -41 - t - A- Er� Owner: Builder _. _ _ Address _ _ _ Address I.00ATIO OF Bt ING No. Street er"""" ._ P Of Lot Lot __ _, Block _ ��y"" _ Additi or Sub -Division Corner Lot _._ _ Inside Lot Setback _+ _' Sideyard Sewer Elevation Foundation Elevation [DESCRIPTION OF BUILDING To Used ' . - Front Depth Height Sq. Ft. Cu. Ft /� _ iron Depth Height Sq. Ft. Cu. Ft. of Construction Est. Cost ,.,` o 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 ©rdinances 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 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 thee city limits and this permit may be revoked at any tune°,upon violation of any of the provisions of said Building Inspector NOTICE: • - This permit does not cover the construction, installation for wiring, pluothIng, Bas heating, sewer or water. be sure to see the Building Inspector for separate permits for these items. 4 k(3 yt APPLICATION FOR BUILDING PEST CITY OF F'RIDLEY, KDWSOTA Ownei- i s Name P1 t L.L. 2�Builder At Address LOCATION OF BUILDING .. No. Street 5 �J Part of Lot �. Lot ,4 Clock _ Addition or Subdivision -66 10 d �,,�K,,,(�' Corner Lot ,Inside Lot Setback �� ; Side -Yard g SEWER ELEVATION FOUNDATION EtWATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: ,DW Cc( DESCRIPTION OF BUILDING I ��Sq, Ft.. � r 7 , , ,Cu. Ft. !R a) , (, Front ' Depth 2 r Height Sq. Ft. Cu. Ft. Type of Constructionj6z���_ Estimated Cost -Z ?.ao ®®=- To be Completed 3 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. DATE SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) v BUILDING PERMIT FEE SCHEDUIZ 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 build- ing or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, 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 be at 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 fireproof garage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, 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 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 nor -fireproof garage, warehouse, factory or grain elevator, 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 $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 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 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 ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. 8.00 $ 2.00 $ 5.00 $ 5.00 $ 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 $ /0.00 AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS ,���0 TOTAL FEE — -tee ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 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. s� Fridley, Minn 9 19 /:� Owner Kind of Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. / D � PYLON OF �WORX 4997 HEATING or POWER PLANTS—Steam, Hot Water, Warm 0 Trade Name Q/%'f/ Size No cros' ®U 07 31-0 �� Capacity Sq. Ft. E.D.R BTU H.P Total Connected Load Kind of BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P (REMARKS -OVER) Signed 1��&aZ22 4 2 Business Phone No CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE m New Fixtures $ ?. m Future Fixtures 9d 3.50 U Old Opening, New Fixture k 0 $ water a 4.00 m a Blow Off Basin $ 5.00 w H a s V {0 �' $ u w rte., a Hydraulic Valve Heater 5.00 0 Sump or Receiving Tank S 5.00 m Water Treating Appliance .S 7.00 $ Hot Water Heater $ 5.00 $ () 6 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . , yes ( ) No ( ) Type S 5.00 S m u 5 y S o w N w u m 3 t5 O s lec 1st 2nd 3rd 4th F.CR) m Future Connection Opening Connected with Sewer . New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures _ $ 3.50 $ Old Opening, New Fixture 1.50 $ Beer Dispenser _ $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank S 5.00 S Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ () 6 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . , yes ( ) No ( ) Type S 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fqe $ State Surcharge ($15.00) TOTAL FEE Effective Date May 1, 1988 Job Address /�y��0�c h Department of Buildings l��T City of Fridley Tel. @571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. Lo -30 , 19 OWNER C h IiteA `CA KIND OF BUILDING -&5 USED AS TO BE COMPLETED ABOUT , ESTIMATED COST �400 OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date 2® ER PWMBING 2905 GARFIELD AVENUE SOUTH FINAL INSP. Date MINNEAPOLIS, MINNESOTA 55408 827-4033 o 827-4311 APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PE City ®f Fridley 2 ® 7 1 6 AT THE TOP OF THE TWINS BUILDING PERMIT r f , RE COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 9 �� r i i "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 612-571-3450 910-F15 2/13/91 JOB ADDRESS 7324 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Os:tman t s First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Mattson 7324 Symphony Street N.E. 786-5727 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton Johnson Co. 525 Lowry Avenue N,E, 781^9548 4 ARCHITECT OR DESIGNER MAILADDRESs ZIP PHONE LICENSE NO. 2513 Central Ave NE, Mpls., MN 55418 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 50 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel Bathroom 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5�.9QO $2,95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $81.00 Fire SC $5.90 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $89.85 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI W EN P O R, ATED THIS IS YOUR PERMIT SIGNATURE OF OWNER)IF OWNER BUILDER) IDATEI LDG INS1 qA E NEW [ ] CITY OF FRIDLEY Effective 1/1/90 ADEN [ ] R-1 AND R-2 A= [X] Building Permit Application Construction Address: 7324 Symphony St. N. E., Fridley Legal Description: Owner Name & Address: Ron Mattson -- SA 4E AS ABOVE Tel. # 786-5727 Contractor: MILTON JOHNSON CO. Tel. # 781-9548 Address: 525 Lowry Ave. N. E. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DE.SC-tIPTIC N CRS IKPROVEMM LIVIM AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Grouxi Sq. Ft. G►l�tt: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: bathroom remodel Estimated Cost: $58.9-5.00 ��00 Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. DATE: 2 13/91 APPLICANT': Permit Fee $ C,&0 State Surcharge $ - �-I�1� �v$ Driveway Escrow $ Park Fee $ Sewer Main Charge $ 6-111 O;Llj 0-1 x_01& Width + 6' MILTON JOHNSON CL. CITY USE ONLY See Back Page Tel. # 781-9548 Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "All or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] q,< _ 6 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: $1 to $500 $15 (Minn mt Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRFSSION ESCROW (Concrete Garb Streets Only) Alternate "A": Removal and replacement of curb and• q -*ter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replac*ment of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. Permits for construction will be issued a minimum of 24 hours froa, 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. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL i S q - $ u a v - $0 Mater w N 5.00 - S Blow Off Basin w F c .a ro a A Catch Basin ++ a a w - S Rain Water Leader Heater d u .. - $ m S w ►. Water Treating Appliance � ro 10.00 S Water Heater - Electric S 7.00 - $ 0 0 a�7 a '� a a $ 8 u H B a a m a c w u a a is w 31 ow° m w un�<s ti a 0 1 r 1st 2nd 3rd 4th (R) - Future connection opening Connected with Sewer (•) - New Fixture, Old Opening Nater RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures S 7.00 - $ Old Opening, New Fixture S 4.00 - $0 Beer Dispenser $ 5.00 - S Blow Off Basin S 7.00 - S Catch Basin S 7.00 - S Rain Water Leader S 7.00 - $ Sump/Receiving Tank S 7.00 a 5 Water Treating Appliance S 10.00 S Water Heater - Electric S 7.00 - $ Water Heater - Gas $ 10.00 - $ Gas Range $ 10.00 - $ Gas Dryer S 10.00 - $ Back Flow Preventer Required ( ) Yes ( ) No Type S 5.00 - $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance State Surcharge REINSPECTION FEE $30.00 TOTAL FEC Effective Uate January 1, 1991 Job Addre:cs / -� � is !K � � e, Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 Ttie undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and corre::t. Y`;L 19 V OWNER R O f'1 14 a[/ 5 KIND OF BUILDING �F.i ev +1 e— USED AS S / "d eP- W e /Il TO BE COMPLETED ABOUT ft — 9/ ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. o� Company Signed By �j� -� Tel. No. 5A/ i/n ® V-5 ROUGH II7SP. Date FINAL IUSP. Gate APPROVAL FOR PEP4IT MINIMUM FEE FOR ANY PLUMh1';r,/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PERMIT NO. City ®f Fridley 2177 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. 2/, 0� C r PROTECTIVE INSPECTION SEC. 1 1 I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/13/93 JOB ADDRESS 7324 Symphony St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 5 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Mattson 7324 Symphony St NE 786-2757 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L Johnson Co 525 Lowry Ave NE 781- 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 Reroof House (24 Squares) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Provide adequate attic ventilation. Provide smoke detectors as per UBC 1210 adjacent to the sleeping areas and in the basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5,200 $2. 60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $8� Fixe SC $5.20. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ,00 PLAN CHECK FEE TOTAL FEE r License SC $5. 00 $93.80 SIGNATURE OFCONTRACTOR OR AUTHORIZED AGENT (DATE) W H E PRO RLY DATED THIS IS YOUR PERMIT ' ''� BLDG I DATE SiGNATURE OF OWNERtIF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application��az Construction Address: 7324 Symphony St. N.E. Legal Description: Owner Name & Address: Ron Mattson Tel. # 786-2757 Contractor: Milton L. Johnson Company MN LICENSE # _ 2OQ3 Address: 525 Lowry Ave. N.E. Tel. # 781-9548 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: x Corner Lot [ J Inside Lot [ J Ft. Yd Setback Side Yard Setbacks Type of Construction: Tear -off, re -roof Estimated Cost: $ -5,200.00 Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: 10/13/93 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Ft x $ (cost on Back) = $ APPLICANT: ��f Tel. # 781-9548 $ 72 (� $ �2 . $ �> n Driveway Escrow $. Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: 1 z Fee Schedule on Reverse - Side .001 of Permit Valuation . (1/ 10th %) $.50/$1,000 Valuation $700 per SAC Unit $5.00 ' (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary* [ J No't Necessary [ ] BUILDING PERMIT PER 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- tp-wit: TOTAL VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) m $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first. $2,000 plus $9 . for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and iitcludini--X5®,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to apd,*cluding $100,000 r $1001,001 to $500,000 $639.50 for first $100,000,;'.plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 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 $13.50. 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 $15.75. VERIFICATION OF FOUNDATION Permits for 'construction will be issued a minimum of 24 hours froth 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. 17 QN CIT`fi WRTEK WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring WELL AND BORING SEALING RECORD ''"g "° Minnesota Unique Well No. I ry° - 7341 County Name` -- ,; Minnesota Statutes, Chapter 1031 or W -series No. t Hank d rrot Wawri7 Township Name Township No.Ran?e No. SectionNo.No. Frac' on ism. -s Ig.) IWI Date Sealed y Date Well or "'n"", Numerical Street Address or. Fire Number and City of Well or Boring Location 3124 9YWHMVMUff W„ I Depth Before Sealing A. Original Depth 2 it. Show exact location of well or boring I! Sketch map of well or boring with °X°. ` location, AOUIFER(S) STATIC WATER LEVEL in sectiongrid showing property JK Single Aquifer ElMultiaquifer lines, roads, and buildings. N measured, ❑Estimated WELLlBORING' N Water Supply Well ❑ Monit. Well - - Ej Env. Bore Hole ❑ Other -t4- ft. IN below ❑ above land surface W r- -t '” (-" E CASING TYPE(S) - r- - - -i-- - - Steel ❑ Plastic ❑ Tile ❑ Other Arnfle d CASING(S) Diameter Depth Set in oversize hole? Annular space Initially grouted? --�- - - - i-- --�-- S, r mflefe pdafrom _ 0 __ to tt. ❑Yes j No E] Yes ❑ No E] Unknown ft in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown PROPERTY OWNERS NAME - in. from - to k. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown Property owner's mailing address if different than well location address indicated above. ,WWH 9" M SCREEN/OPEN HOLE Screen from to ft. Open Hole from to ft. y MNSM OBSTRUCTION ❑ Rods/Drop Pipe ❑ Check Valve(s) ❑ Debris ❑ Fill 10 No Obstruction Type of Obstructions (Describe) - WNER'S NAME Well owner's mailing address if different than ptloperty owner's address indicated above. Obstructions removed? ❑ Yes ❑ No Describe PUMP Naa i Type ElRemoved '1 Not Present ❑ Other HARDNESS OF GEOLOGICAL MATERIAL COLOR ", FROM TO FORMATION METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: No Annular Space Exists If not known. Indicate estimated formation log florin nearby well or boring. Oak 25L- ❑ Annular space grouted with tremie pipe El Casing Perforation/Removal in. from to ft. El Perforated ❑ Removed in. from to ft, ❑ Perforated ❑ Removed Type of perforator MAY i' V--5D- I MRD AN MAX, 85 gha ❑ Other WATEMAM MAY 19) 100 GROUTING MATERIAL(S) (One bag of cement = 84 lbs., one bag of bentonite = 50 lbs.) Grouting Materi from to -'s' it. yards bags ' II from to ft. yards bags I from T� to ft. yards bags from to ft. yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING OTHER WELLS AND BORINGS ARKS: ',i Other unsealed and unused well or boring on property? ❑ Yes f] No How many? LICENSED OR REGISTERED CONTRACTOR CERTIFICATION NOLOGY FROM. 7620 a ATM LEVEL IN � + • This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is ATE WA, . _LEVEL T W 6 - true to the best of�ff myyyyknowledge. CME:FA vv gv� s g� Fo. f3. NM & S - INQ f Lif .q Contractor Busine a License or ReglWatfon Pdo. According to MN State Regulations � a � ��� � �"�� ' Atditoriaed Rep nPaNva ignaPure Date , UVMMffE #tKEVW SCMMUEM i �Ok®PY Name of Person Seating Well or Boring SUBJECT City of Fridley 31999 AT THE TOP OF THE TWINS BUILDING PER I T 16. COMMUNITY DEVELOPMENT DIV. 672-3� RECEIPT NO. v ______ PROTECTIVE INSPECTION SEC. T? s_ ? r CITY HALL FRIDLEY 55432 IL A.� �'' NUMBER REV DATE PAGE OF APPROVED BY ---- 612-571-3450 910-F15 7/16/01 JOB ADDRESS 7324 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 5 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rehm, Frinnie 7324 Symphony Street NE 763-786-2594 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Pella Windows & Doors 15300 25 Ave N STE 100, Plymouth, MN 55447 763-745-1400 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20165884 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 9 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 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 OF COMPLIED $3.70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,404 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- $153.25 Fire SC $7.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TO TA YVP E Licen$5 69.35 SIGN TURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE6 EP P VALIDATE IS IS�OUR PERMIT FOG --NSP - GATE S,GNATURE OF OWNERaF OWNER BUILDER, IFATE I NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FREDLEY ALTER [ ] SINGLE FANMY AND DUPLEXES R-1 AND R-2 T9 Ll BUILDING PERMIT APPLICATION !U Construction Address: 3 �5(A OPTS }- . Legal Description: Owner. Name & Address: PELLA WINDOWS & DOORS Tel. ##(a� . •�,�� Contractor:. 15300 -25TH AVE. N. STE# 100 PLYMOUYH, MN. 55447 MN LICENSE # Address: 763/745-1400 Tel. # LICENSE# 20165884 Attach — -Tr------, _ ---.w____ ._ - ..vey of the lot, with the'proposed-construction drawn on it to scale. DESCRE MON OF IMPROVIKAERNT. LIVING AREA: GARAGE AREA: DECK AREA: Constriction Type: Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft Estimated Cost: $ T, 4 C)4 Ft x $ DATE: APPLICANT: Tel. # 1&a •3YS-.(0N{ CITY USE ONLY Permit Fee $ ls'3 .DS Fee Schedule on reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ , loo $5.00 (State Licensed residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ IC��• 3� 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 1 plus $3.05 for each additional $100 or fraction thereof, .to and including _$2— 00 . $2,001 to $25,000 $b9,25 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 $1001000 $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. 1,1316) TY OF FRIDLEY INSPECTION DIViSION N 131 University Ave NE m idley. MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING. VENTILATION, ® i3.572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES a � RA7'� SCt1EDULE � 3siden8al -urnace Shell and Dud Work, Burner - ;Iso Replacement Furnace (Side Vent . Fill Out Back) aas Piping (Needed with neer furnace, but not replacement) aas Range aas Dryer Air Conditioning • All Sizes all Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work A ammerclal/Industrial 125% of Value of Appliance or Work LL LL 0 A in Rate $ 30.00 $10.00 $ 10.00 $ $ 10.00 $ $ 25.00 3 - Effective On January 1, 2001 JOB ADDRESS 1 J� `t 5yin 0" S4 / l"6 / OWNER F4i8gt- 9flih _ TOTAL BUILDING USED AS Ae5iylet) ESTIMATED COST* 0o cl) PERMIT NO. DESCRIPTW_„ N OE FURNACE AND OR-BURN£R No. of Heating Units Circle One (Steam) (Hot Water)arm Air) Trade NarneA � Size No. 33 6A v BTU_ _JQ XX) _ HP EDR Fuelly4jj,_� -as Total Connected Load Burner Trade Nance Size No. BTU HP EDR $ 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 an State Surcharge $ _ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE S301-40 BLAINE HTC . A/C ELECT, INC. 15562 CENTRAL AV.fie. ANOKA, MN 55 INltifiUlll FEE FOR ANY HEATINWCOGLING/VENTILATiON -YRIGERATIOWAIR CONDITIONING: PERMIT IS $25.00 .US THE $.50 STATE SURCHARGE a =INSPECTION FEE $47.00/Hr m dr Conditioners can not be placed in a side yard without ritten permission from adjoining property owner. a HEATING CO Signed _ L 5 -7—(0,) . Approved By Rough -In Date Final Date 1 BACKSIDE MUT BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION IMI I a UJ a W I h■ LU Y��5 � z J 0 v 3 J ¢. s w UJ g• v � F o LL 1� ILI } I U) m A m LL x Q J o� I a UJ a W I h■ LU Y��5 � z J 0 v 3 J SSP -20-2001 1453 FROM CITY OF FRIDLEY TO 75'76701 P. 02/02 COMMON YAW V§NT CONNECTOR AND COMBUSTION AIR YERIFICATION specifications Including sizing, length, number of elbows and termination. When replacing an exiating fur ance, the undersigned hereby verifies that the venting has been examined and Is free from rust, deterioration, obstructions, Is required. Yes,6 No ( } and securely supported and frestopped where The venting system is piasticWC and meets all current codes and manufacturer specifications Including sizing, length, number of elbows and termination. Yes,WNo ( ) The undersigned also verities that the replacement unit is a listed assembly. and meets the current code$ and manufdctursr's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assWed and draft appliances. Yes ) No( ) natural The exisOmi combustion air is sized and Installed to most the current codes Yes M No( ) and manufascturees specifications. When required to Install a new combustion air, it will be sized and Installed to meet the specifications. Yes No( ) current codes and manufacturer's When WMIlling a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No { ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yesy No ( ) Appliance Type and fte/Common Vent and Vent Connector Information Appliance #1 Type ru(no JGC M Input gad, MO Fan Assisted or Nat Appliance 42 Type BTU Input _ Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vint Type Vent Height Diameter Inches Appliance #1 Vent Connector Height ft Lenp ft Diameter in Type , Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter min Type ALTERATIONS: (Descrlbe) i /'l5 ddle 13362 CENTRAL AVE. N.E. AKROKA, MN 55304 HEATING CO: Signed By: �'- Date: Z a- 2, TOTAL P.02 NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 73,21-/ S % P«'lv % Legal Description: Owner Name & Address: /`/1?/A/C/ i=' R Tel. # Contractor. MN LICENSE #2 o ?51 go Address: ) %U 2 /lG S /�G.. j2/Z�NcG� �'J�% Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Lemth / Width 1 Hgt/�7round, Sq. Ft Construction Type: Estimated Cost: $ �69 0 0 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: L�S/ APPLICANT: 2�� 7 Tel. 40 %2 41-s-:- / 3 ,?A* Call (763) 572-3604 for Permit Fees if ma' g in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee n Plan Review I.Nu�, Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $c STIPULATIONS: BUILDING 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 manmer 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 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 $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) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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 Building PLUMBING No.: PermOAA Inspections RESIDENTIAL APPLICATION Rece 763-572-3604 Date CITY OFFRIDLEY DATE 1 YOUR E-MAIL ADDRESS SITE ADDRESS - Snwt% THIS APPLICANT IS: ❑ OWNER CONTRACTOR Frinnie Rehm PROPERTY NAME: 7324 Symphony Street OWNER/ ADDRESS: Fridley, MN 55432 rE ZIP TENANT PHONE: 7637862594 CONTRACTOR NAME: STATE LICENSE # CJ EXP DATE ���� ADDRESS O S CITY 9' D!/1 STATEZIP s'sYyp' SUBMIT A COPY OF YOUR STATE rl LICENSE WITH , PHONE % – %�0 3 FAX Z APPLICATION PERMff TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW XREPLACEMENT DETAILED DESCRIPTION OF WORK % PER MS 1613.665 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 = ?•FO"ROJECTS WHERE LABOR EXCEEDS-$500;-FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPTWHEREN NOTED :FIXT:I3RES,,.(INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV _FLOOR DRAINS _ SHOWER WATER PIPING —BATHTUB _ GAS PIPING (rEwcnyLi east)TSWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET BACKFLOW PREY. ($15) _ _DISHWASHER --LAUNDRY TRAY TWATER HEATER ($35) ^ FOR IRRIGATION WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15,00 = $ Number of fixtures @ $35.00 _j x $35.00 = $ 36'.00 TOTAL DUE $ State Surcharge = $ .50 Total = $ O 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 app . n 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 1 o w ' r uires review and approval of plans. / / SIGNATURE OF APPLICANT PRINT NAME Je'' A14,41,001DATE10, 4v— .:.-. c�,z�t.,F,`._._..'._.u-y�-...'+° m��s•��s, oCigjr��hS'^h City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977