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PRE 2010 DOCSCity of Fridley, hibm. BUILDING PERMIT N® (:5:27 s A, Date: Owner: r Builder Address _ _� Address I"---- — - -- LOCATLON OF �. ING No. _ Street Parf of Lot - Lot _ Block _ _ Addi or Sub -Division Corner Lot __ Inside Lot Setback - Sideyard-- Sewer Elevation _ ____ Foundation Elevation DESCRIPTION OF BUILDING To z Used Front "Depth - Height Sq. Ft. CU. �" o Depth r��--�f keizht Sq. Fi. ' Cu. Ft. Type .r Construction Est. cost 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 $et t�`"'""'� _ , 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 of any of the provisions of said ordinances. - A I .E.. . - ..- NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector' for separate permits for these items APPLICATION FOR BUILDING PR MIT CITY OF FRIDLEY, MINNESOTA Owner's Name_A�,C C, 7-;y ,alt z, Builder A -Z Address i c LO/CATION OF BUILDING No. 73 � Street `�' � /? Part of Lot Lot Block Addition or Subdivision A0 /0 Corner Lot Inside Lot e-� .e j SEWER ELEVATION FOUNDATION ELEVATION, /O Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front Height Sq. Ft. _/ OCu. Ft. Front ® 'Depth �- Height Sq. Ft. ®® Cu. Ft. Type of Construction �� 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 all the facts and representations stated in this applica&t on are true and correct. DATE SIGNATURE, (A Schedule of Fee Costs can be found on the Reverse Side.) 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 miner 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 $1.4.0 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 non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4.. For any such permit for the erection of any non -fireproof garage., warehouse, factory or grain elevator, or for the erection of any non-fireproof.iddition, 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. I " City of Fridley Appriaation for Plumbing and Cas pitting Permit D t. f 121d Ph SII A 7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures • < O Z F" m Z 4a O pZ tT3z O� ,J wU' 0 z • R • N WATER HTR. GAS ELEC. z -� LL O O Base 1st 2nd 3rd 4th • Futuae Connection Openings Connected with Sewer Nov Fixture, Old Openings Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... �x $1.50 Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 Catch Basin ............................ x 3.25 Water Heater (Up to 200,000 BTU) ......�x 2.00 New Ground Run Old Bldg. x 3.25 TOTAL $ $ $ Z dv $ Location— City ocation 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 Miandc�rrect. 7bb�! Fridley, nn JUN '7 19_ Owner �oL L e-/ bind of Building Used as �— To be completed about Estimated Cost, $ Old—New. Building Permit No� Permit No. Signed LONDON PLUMBING CO. By `'let - Business Phone No ROUGH FINAL GAS FITTING FEES: NO. RATE TOTAL ^�j 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU .............. x 2.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................... ...........$ TOTAL FEE $ 42 2M 7-59 ori Application for Power Ptants and. Heating. Cooling. Ventilcttion..Re%igeration 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 ............ 8.00 $ ,r each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace P.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—ta 400 sq. ft. EDR Steam • ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal.. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL ROUGH— OUGH FINAL- FINAL Dept. of Bldgs. Phone SU. City of Fridley:0_4 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 applicationM true and correct. A i Fridley. n -� -0 19 (�L Owner Kind of Used as To be completed about Estimated Cost, $ Old-Qjgwe"Building Permit.No.\-4—.P- Permit No. DESCRIPTION OF WORX HEATING or PO PLANTS—Steam, of Water Warm Air— n Trade Nam Size No Capacity®<i Sq. Ft. E.D.R BTU H.P. Total Connected Load�� Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) 4 2 az 7M 7-59 S . HEST LOSS CALCULATIONS DEP�TMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall CeilingRoof Floor Kind How. Applied Yes—No I Yes—No 19— F1.1 Room Length Width Height FI.I Room Length Width Height JY Windows 2ig boors—Crackage and Area Win ws and Doors—Crackage and Area Width Height No. of Lineal Yt. Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. I I I I I I Coef. I Btu ; I Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Boom I Length --Vo Width / -1 Height P Wbdows Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of .pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of page 119 of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Glass Exp. wall o Exp. wall p Glass 20 Net exp. wall Int. wall o ^' Exp. wall Ceiling .06 ® 0 O Net exp. wall Floor e f% Int. wall Ceiling Ceiling Floor Floor 01,300 o e Total Btu. Gf' ;10 Required sq. ft. E.D. . ors ins. W.A. Leader area Fl.1 A �__l Room gth�f9 Width //) Height 57 Wi ows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of .pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of page 119 of crack eq. ft. /� Coef. Btu Infiltration 0 Infiltration Glass19,00 Glass Exp. wall Exp. wall p Net exp.. wall 20 Net exp. wall Int. wall Int. wall ®� Ceiling .06 ® 0 O Floor 00 Floor e Total Btu. fe9d Z-7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 4, Room I Length /.,% Width ��i Height Wi ows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of .pane lights of crack eq. ft. No. of pane of pane lights of crack sq.ft. /� Coef. Btu Coef. Btu Infiltration I xy Infiltration (� Glass Exp. wall ® D D Net exp.. wall !� ®fs Int. wall ®� Ceiling 6 !, 0 Floor 0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 4, Room I Length /.,% Width ��i Height Wi ows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of .pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Ile" Coef. Btu Infiltration Glass Exp. wall Coef. Btu Infiltration Int. wall lee Glass Floor e ®fs Exp. wall ®� Net exp. wall 5�-IAIIO Int. wall Ceiling i Floor o e Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area UZO Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of .pane lights of crack eq. ft. ® � F Coef. Btu Infiltration Glass Exp. wall ® " Net exp. wall U Int. wall Ceiling �� p Floor e Total Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area 1%s0 79 HEAT LOSS CALCULATIONS OF INGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19— n u ..) r ..t ael:.],t. �' ue:.1 a c/ a L'1 i n _ t2....... ll e.,�►1, , W;.4tb / .9? 14,.;ol.t Win ws and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. (? OE .� Room I Length// Width& Height Win ows and Doors—Crackage and Area Coef. Btu Infiltration Btu Glass Exp. wall Infiltration `' Net exp. wall D Int. wall Ceiling Net exp. wall Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area (? OE .� Room I Length// Width& Height Win ows and Doors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. Area Btu No. of pane of pane lights of crack sq. ft. , JCoef.j Btu Infiltration 410 Z3 6 d Glass Exp. wall Net exp. wall eo A d 6 Int. wall Ceiling Floor kL Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ." FI_I .a a- Rnnm II.rnoth a W;rlth P.;.ht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. No. of pan of pane lights of crack Area sq. ft. Ao Coef. Btu Coef. Btu Infiltration Coef. Btu Infiltration `' Net exp. wall D Glass Exp. wall Ceiling Net exp. wall of Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I A y� Wi dows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Ao Coef. Btu Coef. Btu Infiltration f� D Glass Net exp. wall Exp. wall Ceiling Net exp. wall 'O Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room ( Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f ni Room I Lenirth Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT City of Fridley _ 1! 159.9 AT THE TOP OF THE TWINS T BUILDING PER I 1 RECEIPT N • _____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 0 1 � ;CITY HALL FRIDLEY 55432 -NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/3 80 JOB ADDRESS 7336 Symphony Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12,13 5 Melody Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Larry F. Poss 7336 Symphony Street N.E. 786-4073 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 8 DESCRIBE WORK Alter basement to install Sauna 9 CHANGE QF USE FROM TO STIPULATIONS SEPERA E PERMITS REQUIRED FOR WIRING, HEATING, PLUMBINGAND SlG 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 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 $300 Y $.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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 SIGNAT CONTRACTOR RAu [ZED AGENT [DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT O ��s�� t SIGNATURE OF OW R(IF OWNER BUILDERI (DATE) BLDG INSP D TE CITY OF FRIDLEY APPLIM ION FOR RESIDENTIAL BUILDING PER iTS New, Alterations, Additions, or Repairs) • OWNER: `� DUI LDER : ADDRESS: �'�� 5��®�`� ,ST" ADDRESS: TEL N0: '� O,Z TEL NO: Construction Location sTRr Trio : %� / .. sTr.�ET: �l rUl pA11 A11� S-1— IVZ LOT: lJ BLOCK.- 4 ADDITION: in ia /—u (o Corner Lot: Inside Lot: 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: Square. Feet: �� Cubic, Feet: Iieight: f6 Front: Depth: Height: Square -Feet: Cubic Feet: i Type of Construction: Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the vork'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 decla s that all the facts and rcpresen tati.ons stated in this application are true orrectt r �/ 0 DATE: SIGNI�. A� CUr�k:: �® _ Stipulations: Ty BUJ UING i'f iou'r FEE SCHEDULE �•, 51-' TION 2. 7.'h� 7n�..pcetor. of )eui.ldin(J shall., beforr. i.t: ,ui.ncJ perinits for the traction Of ,any building or ';t.':uCt.uic, or for any addition to any existing building or..tzuctures, ter t:or any alteration or. repairs to -any cxistin�j bui.l.di;n<7 or structurc, upon application thc).cfor.e, require the payment by the applicant for such permit of fees to, the amount heru.in below set forth and in the manner. herein providcd to -wit: NY',W WNSTRUC'1ION: Single Family homes and Garages; ,4.00/1.,000 cubic feta:. . JAN, CHEICR: 25 percent: of building }permit fee. DRIVEWAY DEMSSIOI•): (Concrctc, C urb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x I(."e.75 Alternate )3: Removal and replacemcnt of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 ,ADI T I ONAI� I (��FOR��IALION 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 &r 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 u5 set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOU1,IDAI10R 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 0 * UPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the Ilse or occupancy of any structure for !which a build:i.ng permit has been issued; and said struct:uze shall not be used or occupied raitil a Certificate or Occupancy has been issued. -n* -V IV% 3oi o,-Sn Oo CITY OF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N. E. • FRIDLEY, MINNESOTA 55432 FRIDLEY CITIZENS This Paper is For Your Note -Taking Use. Please Feel Free To Use It. 4 For Your Records: EMPLOYEE WHO HELPED YOU: DEPARTMENT THAT SERVED YOU: CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE -RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $2n _ n Gas Piping $ 10.00 $ 1-n - n� (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 $ All Others/Repairs and Alterations 1% of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work $ State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit�� MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE $ .50 Attach stack verification form with.replacement furnace permits *Air Conditioners can not be placed in side -yard without written permission from adjoining neighbor. Job Address 7336 Symphony St. N.E. Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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, Minn. C'J- 4C�/ , 19 OWNER Rodney Weiss RIND OF BUILDING Frame USED As Residence TO BE COMPLETED ABOUT ESTIMATED COST $2,995.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. _' /4/12 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Hot- water Trade Name Utica Size No. 75,000 BTU Capacity Sq. Ft. EDR BTU HP Total Connected Load 6 5 , 0 0 0 BTU Rind of Fuel Nat _ (;as BURNER - Trade Name Utica Size No. Capacity Sq. Ft. EDR BTU HP Company Air Qne Mechanical, Co. Signed By Tel. No. 535-12.17 CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Coale requirements for size and total BTU connected Yes No ( ) 6. Has Total heating BTU's of 7 S .n n n RTii All other BTU's TOTAL Rema rk s Company Air ng_mechanical C nm= anU Signed By Da to SUBJECT PER City of Fridley 2 1 3 5 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r ~ 1 PROTECTIVE INSPECTION SEC. 1 � 1 , NUMBER REV. DATE PAGE OF APPROVED BY 1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/8/92 JOB ADDRESS 7336 Symphony Street. NE t LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 5 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rodney,weiss. 7336 Symphony Street NE 7851031 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR [:1 MOVE ❑ REMOVE 8 DESCRIBE WORK Re.roof Dwelling (15Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can.be 2nd layer.>;aut not 3rd, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $795 (� $150, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $21 00 Fire SC $.79 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. a PLAN CHECK FEE TOTALFEE $22.29. WH P ER Y VALI TED THIS IS YOUR PERMITP AeNTRAC7�OFJ AUTHORIZED AGENT IDATEI o BLDG NSP f1ATE ATURE OF OWN RIF OWNER BUILDERI IDATEI NEW ADDN ALTER[ Construction Address: Legal Q ptl'i-Jon: -e Owner e & A Contractor: Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application z 0 eL-4 � F- &E 2-,-%j4 ka'- "04 0 iiJ Effective 3/l/92 Tel. .3 MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the K with the proposed construction . drawn on it to scale. DESCRIPTION OF IWROVEMENT 14�------ LIVING AREA: --neight L - -Ft-.� GARAGE AREA: Length Width Height Sq. Ft. DECK AREA:Lea Wath HgtlGround Sq. Ft. OTHER: ,—, 7,4- 7 Comer Lot f j Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost Approx. Completion Date: Z— (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = F x $ $ DATE: , --s CI L APPLICANT: Tel. # 7j-lr--Is 3 CITY USE ONLY Permit Fee $ 00 Fee Schedule on Reverse Side Fire Surcharge $ '?q .001 of Permit Valuation (1/10th%) State Surcharge $ � $.501$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary I I Not Necessary K110111 STIPULATIONS: $ 0�- d 2 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 $15 (Minimum 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 $25,01 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 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. SUBJECT P City of Fridley 2926 2 AT THE TOP OF THE TWINS BUILDING PERMIT NO. `y _-_„__ COMMUNITY DEVELOPMENT DIV. r � - PROTECTIVE INSPECTION SEC. �9� 1 � _ I "'1 CITY HALL FRIDLEY 55432 �.__.11.' '•� NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 4/21/99 JOB ADDRESS 7336 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 5 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elizabeth Lapour X113M 7336 Symphony St NE 792-2332 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION )p REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 $1,585 .94 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- Fire SC $1.88 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $59.50 PLAN CHECK FEE TOTAL FEE $62.32 SI' URFC N. TOI1ORAUTHORIZEDAGENT IDATEI WHEN PROP Y VALIDATED THIS IS YOUR PERMIT ArE WNE FOVVNEPBUILDERI IDATEI B, DG INSF' GATE NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 3 - 1 • 1 NZ1.1117MI-A-1 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Effective 1/1/99 b 6 Ck7 IQ . \D S-7- tiF- 1;/A -7-92-2-4 4 z MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length Width Length Width Length Width Driveway Curb Cut Width Needed: Ft. + 6 Ft = Tel. # Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Estimated Cost: $ /362S_ (Fee Schedule on Back) Ft x $ = $, DATE: � %% APPLICANT: Tel. # ��a d a-13�- 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 .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering 'Agreement Necessary [ ] Not Necessary [ ] 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 $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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued.a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SUBJECT City of Fridley 33895 AT THE TOP OF THE TWINS BUILDING PERM I T r T NO. ------COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV OF APPROVED BY i CITY HALL FRIDLEY 55432 j L 763-571-3450 910-F 15 JDATEPAGE 9 / 181037 JOB ADDRESS 7336 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 5 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Liz Lapour 7336 Symphony Street NE 763-786-2992 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO David Baerg Construction 3109 N 73 Lane Brooklyn Park MN 55443 561-5988 1858 A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION ❑ ALTERATION 0 REPAIR 0 MOVE 0 REMOVE X B DESCRIBE WORK Remove approximately 10 fet of wall at bottom of stairs and install header over new opening 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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. 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 1 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 $1,000 $•50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- T CTION OR THE PERFORMANCE OF CONSTRUCTION $38.75 Fire SC $1.00 9' '®I,1hqn.4SC PLAN CHECK FEE $5.00 TOTAL FEE $45.25 $IG NATURE OF CON'RACTOR DR AUTHORIZED AGENT [DATE, N PROPERLY L-NSp VALIDATED THIS IS YOUR PERMIT MATE SIGNATURE OF OW NERi�i OW ER BUiLOERi IOATEi NEW [ ] CITY OF FRIDLEY ADDN [ j 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 57A-1287 Fax Legal Description: Owner Name & Address: Tel. # -5- 70k Contractor ,,4a MN LICENSE # Address: -3 qA ,gy p - ��.�� . _ I. # 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: Construction Type: Estimated Cost: $ Z0-66- Driveway 0-66 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: %- ./S'- 03 APPLICANT: Ld J c Tel. # z".? -'5-6-/-- Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge ,Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ Fee Schedule on Reverse Side $ ®cp .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1275 per SAC Unit $ ®cam $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 [ J BUILDING PERNUT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only co 4D ;mOzo' 4 N 3y' %J -'I cn 0- �"' J Co(11 4i .r m w ro .. SO Department of Administration �sa March 10, 2004 Elizabeth Lapour 7336 Symphony St. N.E. Fridley MN 55432 RE: Inclined Wheelchair Lift Site: Lapour, Elizabeth Residence 7336 Symphony St. N.E. Fridley 55432 Dear Sir/Madam: APPROVED FOR USE - Elevator ID# 04-09266PT03-07 Minnesota Statutes Chapter 16B provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDING CODES AND STANDARDS Mark A. Jolafison State Elevator Inspector mai/kad (CE -2) c' Julkowski, Ronald, BO, City of Fridley Premier Lift Products LLC x(10 P saw cis -JQ- 40,\, -Ltx& TFuL c orrApc-n t f he1Z O -Lu 7 ElFormCE2 Building Codes and Standards Division, 408 Metro Square Building, 1217th Place East, St. Paul, MN 55101-2181 Voice: 651.296.4639; Fax: 651.297.1973; TTY: 1.800.627.3529 and ask for 296.9929 From: City of Fridley To: 7635453040 Page: 2/3 Date: 9/17/2009 9:08:30 AM Building BUILDING Permit No. ai7c', 'Of Paq 6.11 Inspections RESIDENTIAL APPLICATION Received By: 'tom 763-572-3604 CITY OF FRIDLEY DatJMdSV—U 9nin 763-502-4977 FAX EFFECTIVE 1-1-09 DATE —1 # I—U I SITE ADDRESS -73 THIS APPLICANT IS: PROPERTY OWNER/ TENANT SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE OF WORK: DESCRIBE WORK BEING DC SIZE OF IMPROVEMENT_ ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDLNG Vinyl ❑ Aluminum ❑ Other YOUR E-MAIL ADDRESS -r-, /) G ❑ OWNER NAM E: lC 1.t -0- ADDRESS: d CITY PHONE: "Z� 3-67 S3�--7V- q NAME: %''°l [8�l��S� a �✓`l�� STATE LICENSE if ADDRESS: 1710 190 P PHONE `It SINGLE FAMIL`riNEW CONSTRUL"PON TWO FAMILY/NEW CONSTRUCTION ❑ ADDITION ❑ GAIIN ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ID1N( ❑ NEW HOME CONSTRUCTION ❑ MAINTENANCE/REPAIR SIZE NG POOL ❑ ADDITION ❑ REMODELING ATE LIP EXP DAATE CITYQd-RaEJ - STATEMfUIPS-5- :1 WINDOWS ❑ DRAIN TILE ❑ OTHER n;clLr-'..a r3n ILoJ,a3 2®L c'J2P' �-C� LENGTH WIDTH HEIGHT SQ NT ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: ❑ HOUSE & GARAGE 1. Existing Floor Plan ❑ ATTACHED GARAGE 2. Proposed floor plan ❑ DETACHED GARAGE 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS, & PORCHES SUBMIT: ❑Soffit 1. Site Pian/Survey showing the existing structures ❑ Trim and proposed project. ❑ Fascia 2. Two sets of constriction plans 3. Energy Calculation WINDOWS 1N EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ALL FEES (USING THE 1997 U.B.0 FEE SCHEDULE) COTAL JOB VALUATION $.101-7=, ems 0 OCCUPANCY TYPE Permit Fee $ Sec: Back Page for Fee Schedule Plan Review $ 65`% of Building Permit Fee Fire Surcharge $ 001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 �— License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft t 6 ft = _ ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ I It, 3 9 Make checks payable to: City of Fridley Attic] THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit 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. SIGNATURE OF APPLICANT PRINT NAME DATE PLEASE -NOTE?. BPAI;ATB PBRILCI I'SARE i2E�UIRED F'OR PLUMBING; I LEC`RICAL:ANTCi MECIHAlai1CAL WO*RK : 7635453040 09/16/2009 21:09 RECEIVED FROM: 763 502 4970 #5733-002 443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651) 284-5005 St. Paul, Minnesota 55155 LABOR & INDUSTRYTTY.www.dii.mn.gov TTY: (651) 297-4198Ask January 22, 2010 Elizabeth Lapour 7336 Symphony St NE Fridley MN 55432 RE: Inclined Wheelchair Lift Site: Elizabeth Lapour 7336 Symphony St NE Fridley 55432 Dear Sir/Madam: APPROVED FOR USE - Elevator ID# 04-09266.01 RV09-07 Minnesota Statutes Chapter 16B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. THIS APPROVAL APPLIES TO THE WHEELCHAIR LIEFT REMOVAL. ALL ELEVATOR RELATED EQUIPMENT IS SUBJECT TO ANNUAL RENEWAL OF THE OPERATING PERMIT: It is the owner's responsibility to maintain and keep current with all tests in accordance with the ASME A17.1 and the ASME A17.3. Frequencies for the required tests can be found in Chapter 1307 of the Minnesota State Building Code. Failure to maintain and perform the required tests may result in revocation of the annual operating permit. Operation of an elevator related device without a valid operating permit may result in an issuance of a "stop order" from the department and possible penalty of up to $10,000. For more information see our website at: hftp://www.doli.state.mn.us/bc_elevators.html Sincerely, CONSTRUCTI ZCOS & LICENSING Mark --� State Elevator Inspector maj/rsg (CE -2) c: Julkowski, Ronald, BO, City of Fridley Premier Lift Products LLC This information can be provided to you in alternative formats (Braille, large print or audio). ElFormCE2 M Equal Opportunity Employer From: 612 822 5408 Page: 2/3 Date: 10/11/2010 4:30:52 PM Building NM CHANICAL Permit No.: q ' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat 'd: 763-502-4977 FAX BFFECt'IM-19-09 DATE (0 YOUR, 6 -MAIL ADDRESS STTEADDRESS 17 ,, THIS APPLICANT I5: ❑ OWNER NTRACTOR PROPERTY NAME:-.,- , ,� OWNEW STATE.JvZIP ,5 �' ADDRESS: a .. N rr CITYTINAM q. PHONE:L CONTRACTOR COMPANYNAME:4c% N� SUBMIT A COPY OF CONTACT PERSON- . 1 w ,. STATE LICENSE # /ti,S�l Z i ,, EXP DATE I � % �l0 YOUR STATE LICENSE WITH ADDRESS: /qze'� i�i- AlCITY /'�G,1 _ STATE APPLICATION PHONE L -2Z— FAX 752 -9-W W PERNIIT TVTp E INGLE FAMILY I7 TWO FAMILY O TOWNHOUSE TYPE OF WORK. ❑ NEW *tEPLACFM10T 0 ALTERATION/REMODEL DE'T'AILED DESCRIPTION OF WORK kl A/ �r FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURE& ((NDYCATE TO'rA1L NUMBER OF EACR BELOW) Equipmem .minted MFG: MODEL: _ SIZF/BTU MFG: MODEL: STZEMTU MFG: MODEL: _ _ SEMBTU A/C x25.00 FIREFLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 NEW C BOILER $35.00 FURNACE $35.00 UNIT HTR $10.00 CHIMNEY LINER. $10.00 GAS DRYER $10.00 HEATER $35.00 _POOL _DUCT wom $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 • '�: 1 ,,�, i :•}. '4 :• :•:�'�° T' ..::....! � ' a i,J'� 3.'n ,i �. + r 'rh '!u +,! i.x i::�'ii. -73 ' �yf 1 .�i;�'L,.CQi , +t• d ° y .Tib �fr3 h;:+,, ' t, � :..� �x'af§�i r.?. -{r::; :••,3,,•'•in ..i� ;i;�; ..� 1 �{k hi ,?I n;: ,{Y�!• , ,• t 'x,f�'x 'n"9 �+�'� 1 i,:• f' , ,,..'. •� :.. :r.: ..:°;l..+ �.r y,,,;.x+sir:. ; ,• _.-•.i�.: Txi !t1 t4+�;•:.o'•r f '`�',r �,�,v�c R '��' �, r,� ;h• �.a,. •'•fit'+•"� ", .� M,:i�'•'��,s�` `�+ � , ••:::� T ST ,Mi'r': .' ;' .fT'� +� r+:•:,,'',: iU i i � `lY[�l�..J a�T �S"��.��;t 4.:•;t,:::t*G' t a� yr•: ,ZJ a.•>:::;::j�-� .+ ..� ' , xt+ 1 Txt 1 ,. �r'�:1;.� '.i': ' T.:• •.T IS, �''f,i,'S}fl , � ,� r,x � .? .�;. r. �, i'': i � •- .':'it: '•:: ' •.ice �T, . � lfi'' x Ul r' .. ;': ;:' Tt: .1d d T:+-: � ;,:: � '}' :4 :� •tr;r . �ri:C ?:; '•P :-::,f: ;: •::ar,Tr. .-�'T• J�r1 t T�T� rc Ti 1 f� 'i 'ST i1nTi''rr3•'i T . t'. �::.: T .'.. e i.. ;k'•,_�: •. .. r rTv :?••r'•:•T"r'.•.}:•^.if° 'd++ :.'•'�vB itix• }:cr:air�'ii 74 t d�'i Fn3i17r*V"R•diSTiT'4 :?.T•;:• THiS IS AN PLICATION FORA 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 codc,5 of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the cvve of all v*lc hicl requires review and approval of plans. // SIGNATURE OF APPLICANT / I PRINT NAME ;&_L --L .!'+sfi DATE 9d �.6•'1•ll lir r.:. J , V ,+� � t .]�i: T'�.-/ , 5. a +t •�.:..; �'. (� City of Fridley \ Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977