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City of Fridley, Minn.. BURDING PERMIT N°52' 5 Date: ��. Owner,r�. ,..,� , �,.. f ,.� Builder : Address _ __ _ Address-- LOCATIO19 OF BUIL I G No. 4 Street �' :" a '` �' Part of Lot Lot _ , .._ Block _ Addition Sub -Division Corner Lot _ _ ____ Inside Lot _ Setback __ _ _ Sideyard Sewer Elevation _ _ _ _. _ _ Foundation Elevation DESCRIPTION OF BUILDING e To Usedf a Front `Depth _..g. _ Height __ Sq. FC. 7 Cu. Ft. Fro t ° Depth "LIP—eight �.s Sq. Ft ��� cu. Ft. �' 4� Type of'9. ° ; ` Est, Cost OL -12 — To 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 $_ ~ Y _.., 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 the city limits and this permit may be revoked at any time upon- violation .®f any of the provisions of said ordinances. BuildingInspector l� NOTICE: This permit does sof cover the construction, installation for.wiring, plumbing, Sao heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. 4 APPLICATION FOR BUILDING PEI CITY OF FRTDIEY, MINNESOTA owner Is Name k-- Builder --Al' Address X211 '7 IV ��ddress-.L!�2> f ? LOCATION OF BUILDING No. Street o Part of 1 Lot Block Addition or Subdivision Corner Lot Inside Lot. Setback Side -Yard / SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION 9F BUILDING a To be u d as: P.O S i � Front _ _ Depth -,-' r Height Sq. Ft. ` /� Cu. Ft. Front �� Depth 2-2 / Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost�1 To be Completed The undersigned hereby makes application for a permit for agreeing to do all work in strict accordance with the City the Department of Buildings, and hereby declares that stated in this application are true and correct. DATE �' SIGN (A Schedule of Fee sta can be found on the the work herein specified, Ordinances and ruling of he facts andsentations Are BUILDING. -kMM F-221 SMUIE 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 waner herein provided to -wits 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 additions for similar occupancy, to any existing building shall be at the rate of $1.1.0 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 nor -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2./+. For any such permit for the erection of any non -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 $1.00. 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. City of Fridley, m nm -12026' �? 6431 University Ave. N.E., Minneapolis, Minn. 5543z, -- BUILDING PERMIT Mate.. __ January 9, 1973 Owner: Donald L. Johnson Builder . Same ,Address __ 7331 Symphony Street N.E. Address Same Na 7331 Street Lot tA 15 Block 4 LOCATION OF BUILDING Symphony Street N.E. Part of Lot Addition or Sub -Division Melody Manor Corner Lot inside Lot Setback _ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Finish Basemant Front Depth Height Sq. Ft. _ Cu. Ft. Front Depth Height Sq. Ft. _.. Cu. Ft. Type of Construction Pl aster Board & PMe . $600. To be Completed January 1974 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. 6.00r A Donald Johnson 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 up= 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 Yidley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildffigs e city limits and this permit may be revoked at any time upon violation of any of the provisions of said �� CS Building Inspector DARREL CLARK NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION EUILDINQ PENT CITY OF FRIDLEY, MINNESOTA i� ' N! fV . _ BUILi1BR. s .5 0!� xo;, 7 -3� CORM LOT: LOJr l�+„�7 Eii7ACKir ViDEYARD: Aptig,Mtgt"ch to tbU f+= io Certificates of Sum of Lot and proposed b"1411tS location drWR on UmBe Certificates, DESCRIPTION OF BUILDINO To Be U . FIN1S 0�551 Depth: Height: Square Feet; -Cubic Feet; Front: Depth; Height: Square Feet; Cubic Feet s. Tyfa of construction2 kAPFg, 81 Cost: $ LQ,. To Be IM nn TptSaad hereby meas applicattiva for. a pemi.t for the work herein ppe0if j*4, agreeing -tea do al.l [pork im stttct accordance with the Oity of 4141 Or A s 4a4 l uttW of Department Pf Bui�.d n s, iae7reby alaree d"X all the facts and representations stated is this appItcation are true correct, (Pim Reverse We For ,Addttlonai Inforsation. ) I e I -BUILDING PERMIT F9F SCHEDULE SECTION 2, The Inspector of ggildings 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 tomwwi t t UNIFOW BUILDING CODE r Type 1. 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for eAcb one thousand cubic feet. ADDITIONAL INFOWTION For the purpose of computing fees for building permits, the cubical contents of any building or addition, io 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, b"Sht of the roof surface of the main gable of a pitched roof, irs or alterations to an existing structure, the fee shall be at the rat -C of $3.00 per ega five hgndxed dollars (4.500, DO) or fraction thereof in the coat of all proposed work, In vp case shall the fee charW for say permit as set foxth in Section 2 be than $5.00, V TFICATION Of FOUNDATION W=4 Permits for comtrutetion will be issued a minimum of 24 hours from the tie of application, to allow for proper review of the proposed staruoture and of ;fie construction site. A Cer fiO4 survey of the lot, 46moing the locates of the foundation, owe it has been 4opsMwto4, will he required before groceed!MS with the framiag, P CIMMICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) 44ye prior to the use or Occupancy of my stVuctt=e for which a building permit has been issued; and said structuxe shall not be used or occupied until a Certificate of Occupancy has been issued. City of Fridley SUBJECT PE - 19352 AT THE TOP OF THE TWINS BUILDING PERMIT , CEIPT NO. • COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. 1 ` � T HALL FRIDLEY 55432 ,�J612-571-3450 NUMBERDATE 7RECITY PAGE OF APPROVED BY 910-F153/23/88 JOB ADDRESS 7331 Symphony Lane N.E. 1 LEGAL LOT NO. /� BLOCK 4 TRACT OR ADDITy�ON SEE ATTACHED Melody "MariOr DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marcene Johnson 73,1 Symphony Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. AARON WILLIAMS XXXX DBA Williams Painting & Construction 427-7348 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 12044 West River Road, Champlin 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install basement bathroom 9 CHANGE OF USE FROM TO STIPULATIONS Provide power vent T P tpkrrs �.lot?roulr,rj) r® ND %®. 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 ISTALLS 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 $2.,000 $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S RUCTION R THE PERFORMANCE QF CONSTRUCTION. $32.50 AN CHECK FEE TOTAL FEE $33.50 SI NATURE OF TRACTORORAU HORIZED AGENT (DATE) HEN PROP=LIDTS VOURPERMIT a`v d BLDG INSP )ATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE( NEW [ ] City of Fridley Effective 4/1/86 ADDN. f R-1 AND R-2 ALTER. [� Building Permit Application Construction Address: Z3�7/ Legal Description: �/�� z5/1��� Owner Name & Address: /��� �/����f� / Tel. # — Contractor: �iike/ /✓��/�/�.�� ��� , l/�fG�11i�/G0. ��rtLS�Tel . # Address:-,/,� /aJ� S 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: DECK AREA: OTHER: Length Width Height Sq. Ft. Length Wi h Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction:,,//3f�'i� Estimated Cost: $ Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Alt. A Alt B $ $ See Back Page for Explanation r� a DATE: o?-�� �o APPLICANT: Tel. # Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: ?A " W CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $ 550 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 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 manner herein provided to -wit: Total Valuation $1.00 to $500.00 $501.00 to $2,000.00 $2001.00 to $25,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 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. a :M American ark_c� �. arose 0 1 2 3 4 5 6 7 8 0 _ 1 may` CKN oC1 � 10 11 12 13 N, n �J Date-_-, - - - - --- - — Scale --- -- -- --- Color/Style Cust. Plan _ _ _ Salesman 9 10 11 12 13 14 15 16 17 18 �q m suBjEcr ERMIT of Fridley ? 3 9 8 6 AT THE TOP OF THE TWINS BUILDING PERMIT Ir?City RECEIPT NO. I • COMMUNITY DEVELOPMENT DTV- I tea: --'--- PROTECTIVE INSPECTION SEC r i NUMBER REV DATE P AGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 2/27/96 JOB ADDRESS 7331 S hony Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 4 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marcene Johnson 7331 Snphony Street NE 784-8305 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of MN 3118 Snelling kye S, Xp1s., PIN 99408 721-6628 2179 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 0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE R 8 DESCRIBE WORK Reside House soffit & fascia & trim. gutters,oors shutters 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 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 ISTALLS 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 $14,000 $7.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE AL FEE Licens C $5AO IK238.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI E PRO G INSP VA D THIS IS YOUR PERMIT c k DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI m NEW ( 1 ADDN (( CITY OF FRIDLEY ALTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: / ,�>,nI - Effective 1/ 1/94 Legal Description: Owner Name & Address: ar h__ Snn1 Tel. # % 8LA - 93®S Contractor: �(J� ����,'"�-e+ D F_ �1� !/�� � C�-�°--� MN LICENSE # Address:_ Sr) l l i i? Aoe_nU �. c 447) Tel. # Attach to this application, a Certificate of Survey of the Iot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING ARIDA: Length _ Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft.- DECK t.DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot ( ] Inside Lot ( ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Sid i nQ- 5/F 4r m _ d °Op -5 Estimated Cost: $_ L4 rs �#mss Approx. Completion Date: 9 � - - q (" 6;-54. (Cost on Back) Driveway Curb Cut Width Needed: Ft. + G Ft = _Ft x $ = $ DATE: APPLICANT: i.��' Tel. # -7;;Lj=/ 4 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side ®J®® .QOl of Permit Valuation (1/10th!) ��� $.50/$1,000 Valuation $800 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 ( ] Ch �264� CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS f4 -- New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and c rrect. Catch Basin $ 7.00 Rain Water Leader $ 7.00 1996 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As Gas Range** Gas Dryer** $10.00 $10.00 ✓ % Estimated Cost e 69 PERMIT NO. i Back Flow Prev :@r Required,eYes () No Type $15.00 PLUMBING COMPANY Reinspection Fee $42.00/Hr SIGNED BY TEL No. �j� a'wZ7�/< ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough—In Date Final Date___ State Surcharge $ .50 _ �• SZI MINIMUM FEEOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY INSPECTION DIV. 6431 University Avs-NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On January 1, 1097 PLUMBING FIXTURE RATES: NO. x a wx-•�y� K� Y».. f gzti �-.:"'vii.: 4 _xo- Wash - ' - moor Auto..;., - ar"x7• r _ >3 -rs 't as fl a ' Water Heater $ 4.00 % i a Urinal nryx t,, A3"1 Shower .c[ b - - ;. Tray Drain c` .zc•,xa 4x s washer :au rg ¢;->� * ",�jy � > n-tZ£V�xii u Gas Elec �y° " Range p:,VYL.Y Basement Basement .-wsa ;=2 a-::zacsi _ "' : rf ¢kms -71 1987 Sump/Receiving Tank • _ z .:1': c-ci Y a }.S:S2 ��+:�� X'voZ.G .z XL�F 4?'4 $ 7,00 4 oa�-''iY-^ 31�w•_yF» h. ^vt S•R S jt»FA02Jti�:A'i -jrx . i_{ -y': oflE} ::9-.. ..,•-:r.: pyy_ .1 }r� Floor 1Xti4 %>3 ss �• v_ :.. r %+Ya ..: :.: � 4 O uiC? T-rY...w 1WLQ� :v 42 yY RG4yv ¢� SE�ry4_r9^_:'t4 L�:G�k +L-}i'G� Floor 2 dw4.a:rny F- _.% h YQt C}_w }it"�-i��" SIGNED BY ---e 55303 — -r �ar ::vf-:4x�vGt AOn...,�..:J 3 :M -. "-- ..}'.]t 1•�ti< - •-}- .. .. - =''m`•vx :} ]�•�g--)f}»S. .FxgX :^-.::si: !_pi�� v �-5:-,p Y.$•. x'-�53�;:. 8^'m �:iy„. }'•�d.}i-if..3 Yu'. r_;..Lv.:}:: Floor S :iF',�.fiils:Cz=:L :F �h:�: .`N.""-y+pY.h4 :,vt:.:x��� - •:y,3L.:v%- _i�$xiaA4_... ... -ax:j4v-} � 4iFSR= - A�ptir�i» 4^' .w _r".}•.>itSt}" .3.yv:.n.:._-4YZ Floor 4 w�'4�i Yv?F-ti:cx'w-::� ••. I _ n�1?P .v :..'�M l �Y;.::�?.•. `•:v�.Z-.�:�i.-{fxy PLUMBING FIXTURE RATES: NO. ELATE TOTAL JOB ADDRESS733[ 6y�lj�j�B�J New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the wor1c herein Old Opening, New Fixture $ 4.00 spedited agreeing to do an work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blatin Off Basin $ 7.00 and representations stated In this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 -71 1987 Sump/Receiving Tank $ 7.00 , Water Treating Appliance $10.00 Owner JOHA-1,56Y Water Heater —Electric: $ 7,00 Water Heater — Gas** _� $10.00 Building Used As �C' 5f 4eF1?1C�_ Gas Range** $10.00 .1 Gas Dryer*11 $10.00 Estimated Caste ® PERMIT IMO.__ Sack Flow Preventer Required )Yes (} No Type $15.OD PLUMBING COMPANY MR. ROOTER OF ANOKA COUNTY Relnspectifln Fee $42.00{Hr 6250 Industry Ave. N. #194 t ALL OTHERS AND/OR REPAIRS AND ALTERATIONS SIGNED BY ---e 55303 — -r 1.59A of Valua of Fixture or Applidnce ® o® 421-6140 �1 I :' 42 4 =6"1 113 -FAX Approved By Rough—In Date- Finat Hate/�% State Surcharge TOTAL FEE®, �® MINIMUM FEE F R ANY PLUMBING GAS PERMIT IS $24.00 PLUS THE $.50 TATE SURCHARG - **COMBUS'flaN AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE!q SQ INCHES. m IL J H 0 sueJEcr RMIT NO. City ®f Fridley 27576 AT THE TOP OF THE TWINS BUILDING PERMIT r R RT COMMUNITY DEVELOPMENT DIV. a.------ PROTECTIVE INSPECTION SEC. 5 71 7 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 1910-Ft5 9/4/98 108 ADDRESS 7331 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 4 IMelodyManor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marlene Johnson 784-8305 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Disanto Const DRI 26103 Verdin St Isanti 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 O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 23 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED 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 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 1971 .98 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. $62.25 Fire SC $1.97 PLAN CHECK FEE TOTgl FEE License SC 5.00 $7Q.20 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI OV WHEN PROPERL V LIDATED THIS IS YOUR PERMIT BL9G INSPMATE SIGNATURE OF OWNER IIF OWNER BUILDER/ ID,ATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 7 3 � / S ,( s i Legal Description: Owner Name & Address: "V "S Tel. # (6' `/ - �--' 3' Contractor: r s < MN LICENSE # z ®G 3 3 Address: Tel. # C612 yyy -cvu 2 q 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 _ GARAGE AREA: Length Width _ DECK AREA: Length Width _ OTHER: 3 'S Construction Type: le67-- A©� i Driveway Curb Cut Width Needed: Ft. + 6 Ft = Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Estimated Cost: $ 9 (Fee Schedule on Back) Ft x $ = $ DATE: 7 `/ APPLICANT: �� �� Tel. #y"/' `/- 0C9 c/ TOTAL STIPULATIONS: $ A L • CITY USE ONLY Permit Fee $, o�.� Fee Schedule on Reverse Side Fire Surcharge $ / .001 of Permit Valuation (1/10th%) State Surcharge $ 192 3 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ Q $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 STIPULATIONS: $ A L • 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 manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 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 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. OF SUBJECT PE R City ®f Fridley 2 8 8_ AT THE TOP OF THE TWINS BUILDING PERMIT r NO. COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. _ 1 � NUMBER REV DATE PAGE OF APPROVED BY � CITY HALL FRIOLEY 55132 612-571-3450 910415 Ir 2/2/99 JOB ADDRESS 7331 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. I 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marcene Johnson 7331 Symphony Street NE 784-8305 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen 350 73 Ave NE, Fridley, MN 55432 502-4777 20040630 A 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 0 ADDITION O ALTERATION )p REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 4 windows with pocket inserts 9 CHANGE OF USE FROM TO STIPULATIONS provide smoke detectors in all sleeping rooms and on all levels of the dwelling. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPEOFCONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $3,250 $1.63 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- STRUCTION$87.25 OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F E License $5.0 $9 .13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 40ATE) EN 0ROP ALIDATE T IS YOUR PERMIT Ipsp v gp1E S-GNATURE OF OWNER OF OWNER BUILDERI IDATEI9L OF NEW [ ] ADDN ALTER r� ConstructionAddress: Legal Description: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 qo� BUILDING PERMIT APPLICATION q6 \� rl� X Owner Name & Address: Contractor: Address: �5W.-I3r-d Q.t,y,u -, Q 71, a Tel. # `784.8305" MN LICENSE #. c900q g--�D Tel. # sua , t 'm - CITY "7 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: �aG1 t J— !I U 7 L-A atcu—.X� I ur nom/Y-,4-- LM J, � !&2 Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �' �"t �l APPLICANT: Tel. # 3 -f • 7$ CITY USE ONLY Permit Fee $ $( • aS Fee Schedule on Reverse Side Fire Surcharge $ -3•a-5 .001 of Permit Valuation (1/10th%) State Surcharge $ t . L 3 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 5. y,0 $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 $ STIP TIONS: ilding Pj, (s Permit No. � t pections F RESIDED TIAL* APPLICATION Received By: -572-3604 CITE' DE FRIDLEY Date ' 763-502-4977 FAX EFFEC'TiVE 1-1-09 DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT 1S: ❑ OWNER NTRACTOR PROPERTY NAME: 0 OWNER/ADDRESS: `d Crl Y 1� STATE �RDZIP TENANT PHONE: CONTRACTOR NAME: E Y\ STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE ZIP CERTIFICATE OF ADDREss INSURANCE PHONE �a "—.� 2 I FAX TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE OF WORK: NEW PLACEMENT el DETAILED DESCRIPTION OF WORK ' P__ - 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 = c6st of labor x.05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEL $15.50. BATH S1NKIL.AV DRAINS SHOWER _ WATER PIPING _FLOOR — — BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) WASHER KITCHEN SINK _ WATER CLOSET BACKFLOW PREY. ($15) _CLOTHES _ DISHWASHER LAUNDRY TRAY WATER HEATER ($35) e FOR IRRIGATION _ WATER METER . @d —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ ' . OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the case of all work ®which requires review and approval of plans. <2 SIGNATUR IC� __�-/c-- �� PRINT NAME \11CQ� _' DATE � APPROVED BY City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 DA' 7