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PRE 2010 DOCSCity ®f Fridley, Blinn. BUIDING PERMIT Date: Owner: Address N? 15547 Builder '✓_._t:...... _ _. _ Address LOCATION OgLIDING No.�- Street _ Lot _._ Block _ Ad tion or Sub-Dividon Corner Lot _ Inside Lot _ Setback . _ -__i" _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height*- Sq. Ft. Cu. F't Front Depth Height Sq. Ft. Cu. Ft. i Type of retraction 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 $ _ .., 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, Mnnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violat of any of the provisions of said ordinances. _- „ Building Inspector NOTICE: This permit does not cover the construction, installation for wiring,, plumbing, gas heating, sewer or water. Bo sure to see the Building Inspector for separate permits for those honor a APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's NameBuilder J, A ii,/ %i Address Address 7. 113 ®' LOCATION OF BUILDING RIMIS of Lot Lot' Block Addition or Subdivision"t--` Corner Lot Inside Lot Setback 3 S'" 1 Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: To be Completed DESCRIPTION OF BUILDING U Q Sq. Ft. / 177,---- Cu. Ft. FrontDepth 2- t Aeight ,� t .. _._..�. Sq. Ft. Cu. Ft. Estimated Cost 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 rep sentat3 stated in this application are true and correct. DATE SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Sid4// ..BUILDING PERMIT FEE SCHEDME 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. GARA 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. City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7 DESCRIPTION OF WORK J?f Number, Kind and Location of Fixtures Luca O PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 0. RATE TOTAL Number Fixtures x $1.50 $1/ 6 '-'3 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 $---E New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $— 0 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: t�J The undersigned hereby makes application for a permit for the work heret specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application$ are true and correct. Fridle Owner Kin of Building Used as �= To be completed about Estimated Cost, $ Old—New. Building Permit No E- ROUGH—lo ^:9— (pt FINAL 42 2M1 Business Phone 19z / Z o �qqj �U' Q Ute' Z p s R y N WATER HTR. GAS EIEC Base Lb 1st 2nd 3rd 4th IConnected Future Connection Openings New .Fixture, Old Openings wis h Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 0. RATE TOTAL Number Fixtures x $1.50 $1/ 6 '-'3 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 $---E New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $— 0 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: t�J The undersigned hereby makes application for a permit for the work heret specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application$ are true and correct. Fridle Owner Kin of Building Used as �= To be completed about Estimated Cost, $ Old—New. Building Permit No E- ROUGH—lo ^:9— (pt FINAL 42 2M1 Business Phone 19z / Application for Rower Plants and Heating, Cooling, Ventilation, .Refrigerc�ion and yell -- Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phos® sv. S'a'o 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 $ each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace .............................. §.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ 1 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ r 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 $ I --- 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 FFE $ ROUGH FINAL 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. Owner _ Kind of Used as To be co ,/7 ,�i+�idley, Minn . d� , 19 4 ;; �ding Estimated Cost, $� Building Permit No. Permit No. 17-1 DESCRIPTION''OF WORK HEATING or P WER PLANTS --Steam, Hot Wa ,Warm Air No r Trade Name [� Size No,,/ f !? Capacity Sq. Ft. E.D.R ` BTU H.P. Total Connected Loadl lJ'� Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H P. (REMARKS -OVER) Signe N. - r By 4637 C-NIr.A013 AV€. MINNEAPOLIS 7, MINNESOTA 0_.42 2M 7-59 Business Phone No Ddb ' 9j Ov i� HEAT LOSS *ALC TIONS DEPARTMENT OF BGLDIN Weatherstrips A.S'H.V.E. Construction No. Guide Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I—U�io e' No 19_ I- ) Ronin I Length Li -t Width C *' Heisht '.�', II 1 Fl I Windows and Doors—Crackage and Area � 1 Width Height No. of Lineal ft, Area No. of pane of pane lights of crack sq. ft. elg Windows and Doors—,Crackage and Area i Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 1 . Coef. Btu Infiltration Coef. Coef. Btu Infiltration*' # 0 V Glass '$ 1.7 Glass 5.1 C `tel Exp. wall 3;fir r Exp. wall ° y Exp. wall r9r Exp. wall't Net exp. wall Net exp. wall Jill / tj Int. wall Int. wall Floor Ceiling'` Ceiling �. ✓ ., Ceiling +f Floor , Floor e .4 7 7 �s' Total Btu. Required sq ft. E.D.R. or sq. ins. W.A. Leader area nom ng � 1 � elg Windows and Doors—,Crackage and Area i 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. 1 ; 4r Ice' Btu Infiltration Infiltration Coef. Coef. Btu Infiltration*' # 0 V Glass '$ 1.7 Glass Glass`,' a Exp. wall Exp. wall ° y Exp. wall r9r Exp. wall't ' Net exp. wall Net exp. wall I ems° tj Int. wall Int. wall Floor Ceiling'` / 5 ., ., Ceiling +f Floor Floor Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area t•l. Koom I Length f P " Width 9, r Height e Windows and Doors—Crackage and Area 47, i Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 1 Coef. Btu Infiltration Infiltration Coef. Coef. Btu Infiltration # 0 V Glass 1.7 Exp. wall Glass`,' a Exp. wall Exp. wall ° y Net exp. will r9r Exp. wall't ' Int. wall Net exp. wall Ceiling i Ceiling 140 Int. wall Floor Floor / 5 ., Ceiling +f 11; Floor Floor Total Btu. uired sq. ft. E.D.R. or sq. ins. W.A. Leader area MINN. Insulation Kind -J How. Applied I r A 1P � C •vr--].t u___t. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I i nnath Jit _1, Wir?Ith 0 ac' 14A.ht .w` Windows and Doors-Crackage and Area r Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft, Windows and Doors—Crackage and Area 47, i Width Height No. of Lineal ft. Area No. ofpane of .pane' lights of crack sq. ft. 1 Coef. Btu Infiltration Infiltration Coef. Btu Infiltration Glass # 0 V Glass Glass Exp. wall -` a Exp. wall Exp. wall ° y Net exp. will ' Ce Net exp. wall Int. wall Int. wall Ceiling i Ceiling 140 ' 40 Floor Floor / 5 ., Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I i nnath Jit _1, Wir?Ith 0 ac' 14A.ht .w` Windows and Doors-Crackage and Area r Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft, e v 47, 1 Coef. Btu Infiltration Infiltration T 2 PE 8 Glass # 0 V Glass Exp. wall A a Exp. wall Net exp. will 91 iio 700 Int. wall Int. wall Ceiling 140 Floor / 5 Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area / F V* . 1Z., -R. I Length : Width �- Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane oP pgne_ lights of crack eq. ft. . d'a aw t �d 47, 1 Coef. Btu Infiltration # 0 V Glass A a Exp. wall 91 iio Net exp. wallf/ ty Int. wall CeilingAlje / 5 Floor Total Btu. F. ft. E.D.R. or sq. ins. W.A. Leader area Appgcaftn for Powerngs Ve ns Relig n d , Air Conditioning Systems -and Devices PARTIAL RATE SCHEDULE ammy WARM AYR: RATS TOTAI; Furnace Shell & Duct Work .........:................. $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.O $ Repairs & Alterations each add. $500.00 ........... . ... 3.00 $ Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 :................ 6.00 $ Repairs & Alterations each add. $500.00 .............. 9.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & lines—to 400 sq. ft. =)R Steam .... .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq ft. EDR Steam .. . ................... 3.00 ' $ Each add. 320 sq. ft. EDR. Hot Water ..... ............ 3.00 $ OIL BURNER—to 3 gal. per hour .... ... .. 6.00 $ over 3 gal. per hour—.See Fee Schedule GAS BURNER (up to 199,000 BTU) .................. 8.00 $ -5-a over 189,000 BTU SeeFee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ....................... x$ 7.00 Additional Fixtures ................. x .78 $ Gas Range to 199,008 .......:... its" $ AIR CONDITIONIIlG $ FAN HEATING SYSTEM See'Fee Schednis VEN'MATING SYSTEM $ ALTERATIONS & REPAIRS TO?]IL FE8 Dept. of Bldgs. Phone 960.3488 City of Fridley: The undersigned hereby makes application for a permit for the work hereit specified, agreeing to do all work in strict accordance with the City Ordinance. and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true an twrrect. n Fridley, 'Minn_ 1 Owner Kinin of Building Used a's To be completed about Estimated Cost, $ 1 New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER Hot Water, Warm Air—Nn. Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Loa Hind of Fue 41 BURNER — Trade Name Size N Capacity Sq. Ft. E.DIt BTU HP. FINAL (REMARKS—OYER) <.� Oriena 0 O PERMIT for Power Plants and Ideating, Cool- ing, ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of f Heating Plants -A � -�) to be installed--altered—repaired Make A Q ) Oil fired—, Coal fired ; Gas fired ; Gas Authorization No. Remarks Approved by. Final Inspection 19_ Inspector Permit N° - 4627 Fee $ O O Office of the Inspector of Buildings` City of Fridley City of Fridley, Minn. Alo V ! , 19(q Owner a 6 R4 Lj& 6A 0 L Location 7j4l - �- Kind of Building How Occupied bcAJ ELU &)C, Work to be Commenced—,19— Approved ommenced ,19_ To be Completed Alma ,19-0- Estimated Cost, $ -R 60, 9 0 (PNew, Building Permit No. Permission is hereby granted to install--erect—use the material and devices described in the above statement. This permit is granted upon t7fexpress condition that the on to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices Herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. p tr inspector of Buildings 42 2M11 -VV SUBJECT City of Fridley 7711F 1528- AT THE TOP OF THE TWINS BUILDING PERM r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6-25-79 JOB ADDRESS 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Mathisen 7341Sqi- 3 CONTRACTOR MAIL D MESS ZIP PHONE LICENSE NO. 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 Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a 15! X 25'1 Swimming Pool and Deck. 9 CHANGE OF USE FROM TO STIPULATIONS Stipulations as.per letter from Environmental Officer. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Vinyl 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 R,-1 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 $1,700.00 .85 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 TOTAL FEE SIG ATUREOFCOCTOROR AUTHORIZED AC (DATE) JJNT WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT w �YK BLDG INSP DATE SIGNATURE OF OWR5R0F OWNER BUILDER) tDATEI less than l+-.00. 611:7 '.7N/ 'VIVIN-791VON3 MRM 917s Avp --Fiylpwhq- p.,AaAjnS 5v -pvq1p.,zTLv.Jv uAVJ -AvojI, f1t,*-?wq2Do-ao,71yIS . 1,4 //o/xV -v,,b AaAJflS- DJO UoIjOlUOS.VdaJ J7-o1,Iu p,, -v any D sl !;tqWl yvyWI fiviia> Aqamy GWIQ-S9 3A09V 13:34 A -Z -aca 03- NOUVA-a-ila -doo-1:1 73 LQ VA s-LN-Awasva t4Oal- 53.LOW730 0 k 1 517 19 113 -Z� FM 14 0 I , I. co 6A I 07 r7l C> z '00 IN'3NO19A90 N I Azov 9JO�OA,InS' 0�1 *ONI v '9NI"d:-12NIE)N2 b 1/sal spo5 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ay*/ 6 th Ig 1 f- iS�jl ADDRESS: QS41 4 fn pyhw TEL NO: Boc?�z STREET NO: 17-341 STREET: BUI LDER : 'Sn' i1 6 . ADDRESS: TEL NO: Construction Location L, LOT: BLOCK: ADDITION: �( �( ��� l/ 1 q duo p" T Corner Lot: Inside Lot: L,,-'� Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION 06 L_ rout: /5 Depth: �5-- Height: Square.Feet: Cubic Feet: Depth: Height: Square Feet: Cubic Feet: Type of Construction: i �q L Estimated Cost: $ Zb Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET'. The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application re true and correct. " a DATE: Q ?SIGNATURE: Stipul ions : 3 7s- `,O (2-4�� S k ►_ %.�$. BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any'addition to any existing building or structure, 6r for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x 715®75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 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 roo.f surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 Per each five hundred dollars --($500.00) or fraction thereof in the cost of all proposed work. In•no case shall the fee charged for any permit as set forth in Section 2 be less. than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. ...4 tc d Y 'S � 7 5 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 June 25, 1979 Mr. David Mathisen 7341 Symphony Street N.E. Fridley, MN 55432 Re: Swimming Pool Construction at 7341 Symphony Street N.E. Dear Mr. Mathisen: This letter is to make clear this departments requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated,one(1) inlet of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be.not more than four inches. 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. S. All electrical lines must be greater than 15 feet away from the pool surface. An alternative is to bury said lines. 9. The pool fill spout must be air gapped or protected by a vacuum breaker. Mr. David Mathisen June 25, 1979 Re: Swimming Pool Const. at 7351 Symphony Street N.E. Page 2 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 111 times the pool diameter, and shepherds crook pole, must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, STEVEffJ. OLS Environmental Officer SJO/mh 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432 TELEPHONE ( 812)571-3450 r 27, 1979 id Mathisen mphony Street N.E. , MN 55432 Re: Final Inspection - Swimming Pool Construction at 7341 Symphony Street N.E. Dear Mr. Mathisen: As of my last inspection on October 12, 1979, it was determined that the following construction items must be completed prior to the final inspection and approval for the swimming pool installed at the above address. 1. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and.private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self-latching.devices shall be placed at the top of the gate or otherwise inaccehsible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 2. The pool fill spout must be air -gapped or protected by a vacuum breaker. Once these items have been completed, please contact this department at 571-3450, extension 164, so that the final inspection can be made.and the paperwork filed. Your prompt attention and cooperation on this is appreciated. Sincerely, STEVE OLSON, R.S. Environmental Officer SJO/mh SUBJECT PERM City of Fridley 191 AT THE TOP OF THE TWINS BUILDING PERMIT ' R ' COMMUNITY DEVELOPMENT DIV. y r PROTECTIVE INSPECTION SEC. t � ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/18/81 JOB ADDRESS 7341 Symphony Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 4 1 Melody Manor Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE David Mathisen 7341 Symphony Street N.E. 784-8094 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof Dvelli 9 CHANGE QF USE FROM TO S}PIPULATIONS Roof can he 2nd but not 3rd roof. Install ridged galvanized valleys. 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 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 $600: $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8. 0Q SI NA URE OFCONNTTRRRAACTORORAUTHORIZED AGENT (DATE) WHEN PROPERLY V�7A®LIID�AT,(ED�THIS IS YOUR PERMIT SIGNATURE OF OWNER (IF CFWNiER BUI DERI ATE) BLDG INSP D E CITY OF FRIDLEY APPLICATIOIN FOR RESIDENTIAL BUILDING PEFmiTS • (New, Alterations, Additions, or Repairs) L ADDRESS: TEL NO: STREET NO: STREET: DUILDLR: ADDRESS: TEL NO: ' Construction Location ' LOT: BLOCK: ADDITION: , Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form tiro Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: H eight : Squane.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $, To $e Cbr,,pleted: znii c Alt. A Alt. B Proposed.Dri.veway Width If New Opening Is Desired: $ $ SEE REVERSE SIDS OF SHEET . .tie undersigned hereby makes application for a permit for the N:nrk' herein specified, agreeing to coo .all work in strict accordance with the City of Fridley Ordinances and rulings of the Department. of Buildings, and hereby declares that all the facts and representations stated in this application re true and correct. a DATE: SIGNATUI'.'r:: a Stipulat • s : . 0� `�� BUILDINGTIM141'f F F E SC.IfC:DULE- L:C,CION 2. • 7V! 7n,.cpector. of 13��i.xc?.ituJ ; :au�l.l., bc�forc: i. s;u.i.ticJ }�c3iniL':; for tile crcct:3.on oi: jxt,y }jt,i.lc3.i.ruJ ar :,truct:ur:e, or for any addition t:o ally c:ri.;;ti.nu building or :>izttetur(-.!, 6): for any alteration or repairs to any exi.r:t.i,trt }nri.l.di,n%J or structure, upon application thcrt:for.c, requ.i.re t)ie paymc►,t. )�y the i.Call t: fo17 suclr permit of fee:; to t}ic ainotznt. hcre.i.n below set forth and ill t.ire manner hercinl,rovi.cic_d to -wit: }1) 1T CONSTRUC'.CxON: Single }.'amil.y Ilorac:. and Garages: 1,:4.00/1,000 cubic feet. }.JAN CHECK: 25 percent: of building permit fee. DRIVEWAY DEPRESS20I•:: (Concretcq Curb Streets Only) Alternate n: lemoval and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $13.50 Alternate B: Removal and rcplacemcnt of concrete curb and gutter and instaill a 3 foot wide approach with 6 inch depth; Drive,•:ay width plus 6 feet x $15..75 .JC DDD T 10NIAL I NFORtMAT I OP 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 sig: (6) inches belo:v the floor line of the basement or tha cellar to the . average heights of the -upper surface or to the average height of the roof surface of the ;Hain gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3..00 rer 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 per►nit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. r • 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. _CER I F I LATE OF OQCUPAj\C1' Application for a Certificate of Occupancy shall be mad: ten (10) days prior to the Ilse or occupancy of any structure for which a building pe>:mit has been issued; and said structure shall not be used or Occupied until a Certificate of Occupancy has been issued. SUBJECT PERMI City of Fridley a - 9 6 2 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T R CEIPT NO • COMMUNITY DEVELOPMENT DIV. �ti; ------ INSPECTION SEC. r � � PROTECTIVE (� CITY HALL FRIDLEY 55432 ,,j NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 15/22/81 JOB ADDRESS 7341 Symphony Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 4 Melody Manor Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE David Mathisen 7341 Symphony Street N.E. 784-8094 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK 26' x 24' Dwelling Addition (.2nd Story 9 CHANGE QF USE FROM TO STIPULATIONS Credit applied to this permit from #16191 issued 5/18/81. 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 $201850 UMM $10.43 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $112.50 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE Sn $29.50 $152.43 WHEN PROPERLY VALIDATED THIS IS YOUR RRAUTHORIZED AGENT Q. (DATE) GNA URE OF CONTRACT OR AUTHORIZED pry IIPERMIT BLDG INSP DAT SIGNATURE OF OWNER (IF OWNER BUILDER) TE) CITY OF FRIDLEY APPLICATION FOR RESI1A*NTIAi_ BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ��- f � �.�lL�s � �� BUILDER: ADDRESS: 73 �Z Z S e; c ADDRESS: TEL NO:% � cl TEL NO: . Construction Location ' t STRI,T .NO : �� iaYc STREET: LOT: BLOCK: ADDITION: 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. O'Uo 'Smey DESCRIPTION OF CONSTRUCTION Front: �2?� Depth: Height: Square. Feet: Cubic Feet: -'Font: Depth: Hem:- --- Square Feet: Cubic Feet: �a73• E Type of Construction: Estimated Cost: $ To $e Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . The undersigned hereby makes application for a permit for the work* herein specified, agreeing to do ,all work in strict accordance with the City of Fridley ordinances and rulings of the Department. of Buildings, and hereby declares that all the facts and representations stated in this applicati a e true and correct. DATE =*OS: 129Stipul f • BUILDING PERMT FEE SCHEDULE - SECTION 2. 'J'ht! 7n,;pector of Did.ldi.nVl^ ::hnJ.J-, t,cfozc: i.c:;Uing pciinits for the erection o1: a>>y buiJ.dinrl or .;t ruct;urc' or for any addi.t:.ion to any eri.3t:i.Iig ).,uilclinq oz stxIcturr., or for any alt'craticll or repairs to -any c�:i.r:ti.n�� buildi.Ilc.l or structure, Upoll application t:hrroforv' require tic payment by the applicant: fol- s,�Icli permi.t of fee.^, to the amount hcru.i.n below set forth and S.11 the Inanner ticrci.n provided to -crit; 1423-1 COI1S`I'l'tUG'CIOI2: SingJ.e ].'�zmily I1olne:3 and Garages: ;:4.00/1,000 cubic.. feta:. P1.,1:22 CHECK: 25 percent: of building pormit fee. WRIV WAY DEPRESS20I•I: (Concrete, CXirb Streets Only] Al.tcriial:e A: Removal and replacement of concrete curb and ~ gutter only; Driveway width plus 6 feet x $13.50 Alternate i3: Removal and replacem�•nt of concrete curb and • gutter. and install a 3 foot wide approach wi -b • 6 inch depth; Driveway width plus 6 feet x $15.,75 AD ITlONAL INFORMA-TIo_ h_ 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 sig. (6) inches below the floor line of the bas -anent or the cellar to the. average heights of the -upper surface or to the average height of the roof surface of the slain gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate ..of $3.00 rier each five hundred dollars ($500. Q0) or fraction 'thereof in the cost of all proposed work. In 'no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. - - VERIFICATION! OFUF ULMATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate'of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. —CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the Use or occupancy of any structure for which a building permit has beenissued; and said structure hall. not be used or occupied until. a Certificate of Occupancy has been issued. i En active Aug. i, i9bi CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL N a a $ u d, $ Water v Old Opening, New Fixture $ 1.50 S H a, r�j' b $ 4.00 m w If a »xi p, 5.00 $ Heater +a 01 ju .ei id $ m �Mt $ -1 si {e� Q� CN 4 Gl r�aeCl S M $ 5.00 $ y Water Treating Appliance $ �0 �Ctl Not Water Heater O W 5.00 S �0 U 3 $ 10.00 u i9 401". Gas Dryer lec 10.00 $ D o0 a0 1• of Value of Fixture or Appliance o0 t7 State 4urcharge $ .50 Reinspection Pee $ -yy ($15.00) TOTAL FEE t2nd 3rd 4th (R) - 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 S Old Opening, New Fixture $ 1.50 S Beer Dispenser $ 4.00 S Blow off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Not Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1• of Value of Fixture or Appliance $ State 4urcharge $ .50 Reinspection Pee $ -yy ($15.00) TOTAL FEE Job Address Department of Buildings City of Fridley Tel. 0571-3450 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. //ee, -7 OWNER KIND OF BUILDING Q O USED AS TO BE COMPLETED ABOUT ESTIMATED COST CJ c OLD - NEW BUILDING PERMIT NO. PERMIT NO.CJ Company ROUGH INSP. Date Signed By Tel. No. �� '�Jro FINAL INSP. W-®/— y/3' Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD p� ST. PAUL. MINNESOTA 88101 Date Zing Authori Street Address City State Zip Code DHS -2722 (9-85) PZ -02722-02 RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: GI'✓,✓r��Type of License: Name o a Care Home Applicant Family Day Care Street A e Group Family Day Care x `�—�-- Licensed Capacity /® City 41State Zip Code Phone No. This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 21 known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, Licensing Worker Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR ANOKA. MINNESOTA 55303 Name of Agency/Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER Nka0v SATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA $5101 (� Date City of Fridley Zoning Authority 6431 University AVe. N.E. Street Address Fridley, MN 55432 City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: Name of) Day Care Home Applicant Street Addr s City State Zip Code t'�LG DHS -2722 (9-85 PZ -02722-02 I --9_k7 Type of License: Family Day Care Group Family Day Care Licensed Capacity Phone No. (0- —° 9 b This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear will consider the your local zoning Sincerely, from you within above-mentioned code. Kathy Speggen/pf Licensing Worker Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR Name o A ency Organization City State Zip Code SUBJECT City of Fridley 21884 AT THE TOP OF THE TWINS BUILDING PERMIT r o COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. o t CITY HALL FRIDLEY 55432 NUMBER REY. DATE 5/28/93 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 7341 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Mathisen 7341 Symphony Street NE. 784-,8094 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 Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 261 x 201 Garage Add-Ltion 9 CHANGE OF USE FROM TO STIPULATIONS Seenotations on plan, Before digging call for all utility locations 454-®002 JMQUi )Bi LAW 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 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 $8,080 $4,04 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- $108,00 Fire SC $8,08 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $120.12 S N TUREO; CONT CTORORAUTHORIZE A�'t•K- .� IDATEI _ W N E L ALIDATED THIS I YOUR PMI BLDG INSP ryaTE $iGNATURE OF OWNERIIF OWNER BUILDER) (DATE) NEW t l ADDN [ ] ALTER [ ] Construction Address: Legal Description: Owner Name & Address: �' U� c� a�i s Tel. # Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. CITY OF FRIDLEY_: SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/1193 DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width ®` Height p Sq. Ft. DECK. AREA: Length Width Hgt/Ground Sq. Ft. –T OTHER: Corner Lot [ ] Inside Lot [Y] Ft. Yd Setback ?fir Side Yard Setbacks Type of Construction: Estimated Cost: $ o a o c� Approx_ Completion Date: J(cos t on Back) Driveway Curb Cut Width Needed: % Ft. I + 6 Ft = Ft x $ _ $ DATE: ' ` '�-3 APPLICANT: CITY USE ONLY Tel. # Permit Fee $ /66,03 Fee Schedule on Reverse Side Fire Surcharge $ OFj .001 of Permit Valuation (1/10th%) State Surcharge $ ®,�/ $.50/$1,000 Valuation SAC Charge $ $750 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 [ l Not . Necessary [ ] TOTAL STIPULATIONS: I M t l C :A' I G�' . i' i L v 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 fust $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 $5002000 plus $3 -for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up Alternate "A": Alternate "B": $3539.50 for. the. first $1,000,000 plus $2 for each additional $1,0(30 or fraction thereof P DRIVEWAY )DEPRESSION ESCROW (Concrete - Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus '6 feet times $13.50. 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 flaming. A4M&-K An A c, e t and PlOnn/ fly 687s N;9hAoy ;cs NE Lvnd Serveyin9 Minneil Sods rs/;n9 ENGINEERING, INC. linos Ola F{ Civil &,wuniaFal - SUnsetd 606& 4 f_n ineerin 9 En ineers Sur vetions certacficaate o,lE suirvev Foir . E M REVELOPMENT CO.;'cl 4<S' Lij X V) oblX z O. En ri -� j GRou/,I p f:.hGV. I36fo,8 Nees C c- v% rl. c DENOT>rS ZRotf i `___ MSNOTE.S U-TIL1114 6 DRAINAGE EASEMENTS N•^rE . i:'.SLF-VATIOWS ARE PQoPOS£n -: 2 F1RsT,,FLooR E1.VAT1ohf, To 6E 2.5 BEET. A64V1; GROUND ELK SNaWH LOT 14 PDLOCK; MELODY :.]lvtAi�i �. /hereby cerhl Mat ti a t! a wd corr d repMsenfofion ofa survey *'#x hwndorres grh6 obe#r &sc,yhed lona, and qr ("QbO,7 jrgll buddin9s, thereon , and all risible MaMbmenls , lf- f vn or eased /and. As surveyed by me fhks - day �Sea4erri ll. A.D. t9�?. SUB UR8AN ENGINEERING, INC. 5 ; S C A,L e 1--30' I p'g W� V Al I 616 P02 JUN 22'93 16:1 t tl i till W_ `,*, 1 1 e � wawsww � MUNK 1 � 1 AAA m HIS O �.t.rrOt •� W rrr r wcsar �w e r �lql� err �. • IMP @ v40d — ril0l� +.1�1yr� 71�R1 W ISI M rrr awl JIMao as " o ►i 9 N � 0" ISOM p "1111 00:11 1 -AWN • m K" I +r i. �� PA I., to 0 . M t � •-lpea� O 1 P CPRE, 1 @ Mile IV .y '40 40 } 1 �y l it 41, P • ani. 42 sue�Ecr City of Fridley M"7 6 THE TOP OF THE TWINS BUILDING PERMIT �AT F i COMMUNITY DEVELOPMENT DIV. � LV r e PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY "9 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/5/98 108 ADDRESS , 7341 S=honv Street 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 4 IMelody MangrSHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Mathison7R4-9094 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO' A-Line Construction 6499-9944 20039753 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 ❑ MOVE : ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (30 Sq) Tear-off 9 CHANGEOFUSEFROM 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONED 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 HER IN OR NOT. THE GRANTING OF A PERMIT $2571 1,29 DOES NOT PRE UME TO GIVE AUTHORI TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS NY OT TATE OR LO LAW REGULATING CON- 11TRUCTION HE PE R ANCE OF CONST TN $74.75 Fire SC $2.57 PLAN CHECK FEE TOTAL FEE Lice se SC $5.00 83.61 SIGNATURE OF CON RAC Au MOR4ED NT (DATE, WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLO NSR /6 7 � r�� f1ATE _ SIGNATURE OF OWNER OF OWNER BUiLOERt 1 ATEt NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: � ` I f Effective 1/1/98 Owner Name & Address: �> �, ;� �, Tel. # V —� q Contractor: �- Ll� c�-� J � ,�,,,,� MN LICENSE #_ -1 Address: 7 4-1, Aaa'�ATel. # �'�� — °I c1 L+ q Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: \` Length Length DESCRIPTION OF IMPROVEMENT Width Height Width Height Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ l (Fee Schedule on Back) Ft x $ = $ DATE: APPLICANT: �e.# 1?T TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S—k $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: 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. U CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1999 6431 University Ave NE') �b Fridley, MN 55432 , ����� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $, 5(j JOB ADDRESS ',:3,q ie, ��Pv 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 Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. I Owner Building Used*As Estimated Cost PERMIT NO. ,A" Trus--& d bat PLUMBING COMPANY - a ya s, SIGNED BY, TEL N0. 175,,2-117-11-0.26 a Approved By Rough -In Date Final Dat J MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE *COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 28, 2003 Homeowner 7341 Symphony Street NE Fridley, MN 55432 Re: Final Inspection at 7341 Symphony Street NE Contractor: A-Aarons Plumbing Dear Homeowner: A plumbing permit was issued on November 28, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building $ W as BUILDING $ Permit No.: °' C' ' , vo Inspections 763-572-3604 Surcharge RESIDENTIAL APPLICATION ReggX' d $ OU SAC Charge CITY OF FRIDLEY D eta: X 763-502-4//9��' 7._7 FAX Erosion Control $ Park Fee $ Sewer Main Charge EFFECTIVE 1-1-09 Total Due $ 1 circ.. GI in '?—L0 DATE ©/pp YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER e'Q CONTRACTOR PROPERTY OWNER/ NAME: Ip LC TENANT ADDRESS: ~7 1 cS J ou b2 1 £`CITY — � -a STATEIJ � ZIP SS `2 al PHONE: CONTRACTOR NAME:sf-op_- M (�' "Aza SUBMIT A COPY NS YOUR STATE LICENSE STATE LICENSE # Q 3 �iS (j�Q- EXP DATE � AND CERTIFICATE OF �" �n 1 ADDRESS: 7g7to (-t �o�So�� �Cu Tc CITY �b�&b-� STATEkAJ ZIPSS`l Z.S� INSURANCE PHONE 6 i -7 3 g- I% FAX PROPERTY TYPESINGLE FAMILY/NEW CONSTRUCTION SIZE Lf- 6� ps - ❑ TWO FAMILY/NEW CONSTRUCTION STORIES__ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH a ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION (1 ❑ MAINTENANCE/RE❑ REMODELING S` ppIR ,,A ,�P DESCRIBE WORK BEING DONE: elf- O r -t- Pa _ L) & � (�L-lam �00 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 2 // ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 3 b ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: S - - - - -- IDING - --- - -- --- - _FOR_NEW CONSTRUCTION INCLUDING DECKS, E3 Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum 11 Trim 1. Site Plan/Survey showing the existing structures ❑ Other 11 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN 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 ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (� G THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ q l OCCUPANCY TYPE Permit Fee $ W as Plan Review $ Fire Surcharge $ Surcharge $ o License Surcharge $ OU SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ 1 circ.. GI in See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 pf,,all work whic requires review and approval of plans. SIGNATURE OF APPLICPRINT NAME ATE�`� / Page 2 - Building Residential Application 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for Is' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for I" $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1' $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1" $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I" $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977