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PRE 2010 DOCS
City of, ]Fridley, Minn. BUILDING N° 35 Date: Owner: Builder — -- - Address Address LOCATION OF SPYING No. 7 :. Pa Street L _ r# of Lot Lot ' Block --- Additi r Sub -Division . ,* Corner Lot Inside Lot S.e back _ _ Sideyard Sewer Elevation ___ Foundation Elevation DESCRIPTION OF BUILDING To Used Front -�4 Depth ' Height Sq. Ft. 14W Cu. Ft " R Depth Height Pq. Ft. Cu. Ft. Type of ; onstruction Esta Cosi( -- To 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 cempiiance with all provisions of pPdinances 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 '♦list 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 a� any time upon violation o of the provisions of said Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plying, gas heating, sewer or water. Be sure to we the Building inspector for separate permhs for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA - /t/_ ��a�.r W.i Address Address No T A/1 A T'rJ1LT ^1n Lot Block AddA on or Subdivision Corner Lot __Inside Lot �' Setback Side -Yard d_ . SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: - i Sq. Ft. DESCRIPTION OF BUILDING Sq. Ft. — y --- Cu. Ft. Type of Construction jeEstimated Cost d,d� 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 a a facts and representati -stated in this application are true and correct. ,� DATE___7L=� SIGNATURES (A Schedule of Fee Costs can be found on the Reverse Side.) BUIL TNG PERMIT :F SMW.—UIE Section 2. The Inspector of Buildings shall, erection of any building or structure, or for ing or structure, or for any alterations or re structure, upon application therefor,, require such permit of fees to the amount herein below provided to -wit: before issuing any permit for the any addition to any existing build - pairs to any existing building or' the payment by the applicant for set forth and in the auner herein 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../+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 f0fireproof" by Section 502 of the Minneapolis Building Code. MOUSES 2.3. For any such permit for the than a garage, warehouse, factory addition, for similar occupancy, each one thousand cubic feet. GARAGES erection of any non -fireproof building other or grain elevator, or any non -fireproof to any existing building. Permit $1.00 for 2.1+. For any such permit for -the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any nor -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 Perm DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE 'TOTAL Number Fixtures ...................... L x $1.50 $ Future Fixture Opening x 1.20 $-- 2 New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... Water Heater (Up to 200,000 BTI) ...... New Ground Run Old Bldg . ............ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x 3.25 $ x 2.06 $ x 3.25 $ NO. RATE TOTAL p� O — x $1.50 $ — x .50 $ — x 2.00 $ Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn ��� e2 ° 19�� Owner js.4-� t -- Kind of Building Used as To be completed about A Estimated Cost, $ Old—New. Building Permit No Permit No. Signe t By Business Phone No ROUGH f—/ -?-4 FINAL Description ....... ....................... ................$%�% TOTAL FEE $L 42 zM O 1 <q 3i3 �m yyl Z �� 3t p O� ~� �m 5� a3 �° t9d �Z �a U0 R WATER HTR. N GAS ELEL aQi� oa �o (7� Base 1st 2nd 3rd 4th • Future Connection Openings Connected With Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE 'TOTAL Number Fixtures ...................... L x $1.50 $ Future Fixture Opening x 1.20 $-- 2 New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... Water Heater (Up to 200,000 BTI) ...... New Ground Run Old Bldg . ............ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x 3.25 $ x 2.06 $ x 3.25 $ NO. RATE TOTAL p� O — x $1.50 $ — x .50 $ — x 2.00 $ Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn ��� e2 ° 19�� Owner js.4-� t -- Kind of Building Used as To be completed about A Estimated Cost, $ Old—New. Building Permit No Permit No. Signe t By Business Phone No ROUGH f—/ -?-4 FINAL Description ....... ....................... ................$%�% TOTAL FEE $L 42 zM bi * � Appiicatian for Power Plants and'Heating. Gaoling, 'yentilation..Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU. 4-7470 A GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 ,$ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR 0 Furnace Shell & Duct Work to 120,000 BTU ........... 8.00 $® each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace 0.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 ....... :...... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ............... — 2Z0 $ 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 TOTyyAL 1st 3 Fixtures ...................... x $1.50 $L Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ $� . ROUGH- OUGH FINAL- 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 o: Used a: To be c Estimated Estimated Cost, $ &4;! �6' 6 6 ) Old— ew. uilding Permit No Permit DESCRIPTION OF WORK HEATING or POWER k ANTS -_--Ste Hot Water, Warm Air—No Trade Nam SizeNo�/, AR'. Ft. E.D.R H.P. • Total Connected Loa 2—,-Mnd of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS-OVER) &.j�tS lo_ a e 731�f D•!6 • 4 2 HEAT LOSS CALCULATIO S DEPARTMENT OF BUILDINGS FRIDLEY, 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— �' F1.1 v/^/Room I Length Width Height Fl. Room I Length Width "eight Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of paneli of panf lights of crack sq. ft. Coef. to Infiltration P, Ir ! X Glass Exp. wall Net exp. wall Int, wall Ceiling / o Floor P0 — Total Btu. , . fn -.77 / Fl.l 2f,� _l _/Room 1 Length // t-" Width /f) Heiaht V Windows an Doors—Crackage an Area / Width Height No. of Lineal ft. Area No. of pane of pane lights of crack aq. ft. 4 Coef. Btu Infiltration Btu Glass Exp. wall Net exp. wall Int. wall to Ceiling PG Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area jV1.1 QRoom I Length idth Height Wi dows and Doors—Crackage and Area Width Height No. of Lineal ft. Area e No. of pane of pane lights of crack eQ. ft. lCoef.1 Btu Infiltration 117 D91 6-q-41�2 Glass Exp. wall Net exp. wall Int. wall Ceilirig 33 -Z., Floor Total BIu.` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area W,'- dows and Dodrs--Crackage'i&f Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft Al Coef. Btu Infiltration Btu Glass Exp. wall Net exp. wall Int. wall to Ceiling Floor Total Btu. -71 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i m 1 7/ - V 0-- 11 --- o -L 1—o W:Ai.L 1Z =... W ows and Doors—Crackage and Area Width Height No. of pane of pane No. of Lineal ft. Area lights of crack sq. ft. GFS Btu Infiltration Glass � to Exp. wall Net exp. wall Int. wall Exp. wall 7_, Ceiling Net exp. wall Floor Ceiling Total Btu. Required_M. ft. E.D.R. or sq. ins. W.A. Leader area F1 m I Length Width Height Win ows and Doors—Crackage a d Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. tt. Coef. Btu Infiltration38 � Glass ,5ev Exp. wall 7_, Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area sueJEcr IT PERM City of Fridley Pf 12265 AT THE TOP OF THE TWINS BUILDING PERMIT � /-( RECEIPT • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. / CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 $/2/73 JOB ADDRESS 7348 Symphony Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 5 Melody Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Leslie Zimmer 7348 Symphony Street N.E. 3 CONTRACTOR MAIL ADDRESS spring ZIP PHONE LICENSE NO. Don Schuettls 8431 Terrace Road, KIUM Lake.Park 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE, NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW EX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBEWORK Construct 211 x 161 Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS �j a TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 R.1 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, $]' OOO.00 3.50 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, $ OO ST,RUCTION O�°/THE PERFORMANCE OF CONSTR TION. PLAN CHECK FEE TOTAL FEE $11.50 SIGNATUREOF CONTRACTOWOR AUTHORIZED AGENT (DATE) WHEN PROPERLY 'AL ATED THI§ IS YOUR PERMIT SIGNATUREOF OWNER(IF OWNER BUILDER) (DATE) IIBLDG. INSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: � �s /� � ice, �r e r BUILDER : Don S50_ A U e t ADDRESS : 79'z/ -V S✓s�e�/�o�✓ Sf- /Ar' ADDRESS: NO: STREET: STREET: LOT: BLOCK: �^ ADDITION: Lfle dy /ki'm o S- CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD• Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ACS � j h6n l© Douse Front: o� / Depth: 161 Height: 16-1 Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: hooal %arae Estimated Cost: To Be Completed: / )/e - The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: cO� �3 SIGNATURE: (See Reverse Side For Additional 31, /05 d y ErM s BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure,.or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the }average heights of the upper surface or to the average. height of the roof surface of the 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 $5.00. 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 Certified 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 trade 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. v't v fk Y la it r z f t) 1 h 7 .R ))y { k 1 i r+ r � 1 { y � r I 7 el a kt, 7 YI v 53-8b -s-915.51 City of (Fridley Appliccfto fw FlumUng cad Gm RMag ? Dept. of Bldge. Phone 96`0.3430 DESCRIPTION OF WORK 7348-N. E. Symphony Street Number. Kind and Locmdoa of Fixtures Loastiom O I � � s � � Z < � s $� . � .. .i t � < `g � � � N �Z �g" • N WATER MTA. GAS ELEC. Base 1st I Intal Oas Grill 2nd 3rd 4th_ • Future Connestlon Openings * Now Fixture. Old Opening connected with or C] Csmeep ower PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ............ x $1.50 $ _. New Fixture Old Opening .....:.... x $1.50 $ Catch Basin ...........:........ x $3.25 $ Water Heater (Up to 99,000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg. ........ x $3.26 $ Electric Water Beater........... s $2.00 $ SAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures ................. x $ .75 $ Gas Range to 199,000 BTU.. . ,......... x $5.00 $ City of Fridley: The .undersigned hereby makes application for a permit for the work herei 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' Fridley, Blinn 6-17-7h Owner Leslie Zimmer. Kind of Building Frame Res. Used as To be completed about 6-24-74 Estimated Cost, $ -10.00 Old—building Permit No. Permit No. Signed cz By -.. Business Phone No ROUGH REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Description .. Ir}stA%1; Gas, G ;ill; ............... ,$ 5.00 TOTAL FRE $ 5.5 Class 'A-" Surcharge .5" NORTHERN STATES POWER COMPANY 4501 68TH AVENUE NORTH BROOKLYN CENTER, MINNESOTA 5542 July 26, 1976 City of Fridley 6431 University Ave N E Fridley, Mn 55421 Attn Mr Darrel Clark Dear Mr Clark B Garages have been built at 7358 and 7348 Symphony St N E which encroach on the utility easement along Lots 11 and 12, Block 5 of Melody Manor. Northern States Power Company has no objection to the encroach— ment of these garages as constructed. Sincerely W F Laidlaw General Manager North Division WFL,/rp SUBJECT City of Fridley C 23018Ir AT THE TOP OF THE TWINS BUILDING P E R M I T RE P NO. � COMMUNITY DEVELOPMENT DIV. r I L PROTECTIVE INSPECTION SEC. 111 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/19/94 JOB ADDRESS 7348 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 5 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Merryman 7348 Symphony Street NE 785-9516 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 Reroof House & Garage (28 Squares) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,100 $1.05 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 $2.10 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $54.00 PLAN CHECK FEE TOTAL FEE $57.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY IDATED THIS IS YOUR PERMIT BLD9f INSP ✓�q s /Al+� 6 / DATE SIGNATURE OF OWNEROF OWNER BUILDER)___ IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R -Z Building Permit Application ConstructionAddress: Legal Description: Effective 1/l/94 Owner Name & Address: t,,4 -a Tel-#795--q-L/6, Contractor: Se -1 -P MN LICENSE # Address: 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 GARAGE AREA: Length Width Height DECK AREA: Length---- Width, Hgt/Ground OTHER: we_ rn©-t- so cta re s Tel. # . Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ) Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ (00 _ Approx. Completion Date: Cos on Badkj Driveway Curb Cat Width Needed: Ft. + 0 Ft = Ft x $ = $ DATE: / C)(q --R G/ APPLICANT: t✓+cam Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: J= USE OffLY $ 00 Fee Schedule on Reverse Side $ tJ6 ..001 of Permit Valuation (1/10th%) $ • WSJ $.50/$1,000 Valuation $ $800 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Pian 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 ices 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 fust $2,000 plus $9 for each additional $11,000 or fraction 'thereof, to and including $25,000 $25;001 to $50,000 $252 'for first $25,000 plus $6.50 for each additional $1000 or fraction thereof, to. and including $50,000 $50,001 to $100,000 $41450 for first $50,000 plus $450 for each additional .$1,000 or frudw 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 I $SOO,OOi. to :$1,000,000 $203950 :.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 Qf curb and }, gutter, ;only =Driveway width plus 6 -feet times $13.50_ Alternate "B": Removal and replacement of ciui ands gutterand install a. 3 foof 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 fromthe time of application to allow for proper review of the proposed structure and of the construction site_ A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing_ CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 (763) 572-3604 FAX: (763) 571-1287 PERMIT NO.: 2004-00237+ DATE ISSUED: 02/20/2004 ADDRESS : 7348 SYMPHONY ST NE PIN : 113024240084 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A REPLACE FURNACE (WARM AIR, BRYANT, 80,000 BTU'S) & AIR CONDITIONING # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 ENTER VALUATION 5000 APPLICANT HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 30.00 ANGELL AIRE INC 12253 NICOLLET AVE S GAS RANGE FEE 0.00 BURNSVILLE, MN 55337 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 55.50 PAID WITH CHECK # 7618 OWNER MERRYMAN KENNETH & MARION A 7348 SYMPHONY ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law r conL or the performance of constructio . Applicant ==_Date Bldg SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. s CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave N6 Fridley, MIt55432 APPLICATION FOR BOWER PLANTS AND : HEATING, COOLDIG. VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITI4C)MM SYSTEMS AND DEVICES m FAX (763), 571-1257m 3 J70,ff SX Al E. � 11. SC1tI:D1iLE JOB ADDRESS, �,TE - . oWN �,P. ;2,17 Residential Rate TOTAL Furnace Shell and Duct WoTK Burner - BUILDING USED AS Also Replacement Furnace $ 3ti.00 (Side Vent -Fill Out Back) $ ESTIMATED COST .�� O .`lam PERMIT NO. C;()o Gas Piping (Needed with new furnace, $10.00 $_ but not replacement) ffACRIPTlOh1 OF FIJRNACE AND ORS RNLB Gas Range $ 10.00 $ No. of Heating Units Circle One (Stearn) (14ot Water) arm Air Gas Dryer $10.00 S _:Trade Nares a Size No. 33'5*%7d✓0 'Air Conditioning - All Sizes $ 25.04 $ � 5 - BTU HP EDR Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BAER) RurnerTrade Name Size No- b 1% ofValue of Appliance or Work $ BTU HP EDR m M ',commercial/industrial - 1.25% of Value of Appliance or Work $.. S Ss The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an State Surcharge .5-0 rulings of the Building Division. and hereby glares that all the facts and TOTAL FEE 5,,. S� representations stated in this application are true and correct $ / � y o DATE MINIMUM FEE FOR ANY HUMNG/t;QQL1N2nEN31L8'Q1+1 HEATING CO __ Ac// 114P -e, C REFRIGEUTION/Aig COAIDITIONIHO PERMIT IS MAO � PLUS THE $.S0 STATE SURCHARGE Signed TEL -7 Yi-Sz00 FAX # c=ro REINSPECTION FEE $47-00/Hr "Air Conditioners can not be placed in a side yard without Approved By Rough -In Date* Final Dilate � ® � hi— written permission from adoning property owner. iu fi" OUT BACK SIDE FOR SACK VERIFIMON ON 12FP Ar:l'1i1 EN FURh1ACE, -o FROM : ANGELL A I RE FAX NO. : 9527465202 Feb. IS 2004 10: 54PM P?, "; iv toI W�" rKU'l l.1 1 Y U!- rKIULLY I U yb-Yz4b5z � W&I H, W1L4J � + w aW`+iw muar 9 Rat mu ll ill WHEN REPLACING FUEL BURNING APPLIANCES OR THE App"OV OV ftL BE RETURNED 1 the undersigned he(eby vedCres that the has been examined stud is fre from rust, dIK060ration, obst udons, and is 5e0rraly sappot Od and fnvsbPPed where required. Ye o ( ) The verttiftg system is Pt85WPVC and meets as current codes and maruefadurer speaific"Ons Indudit sift lenA number of elbows and tem1habon. Yes 4 No( } ThD 4WESigned also VsrSW that tho rePkimnent unit is a Ind aswnbiy arld meets the grant codes and MmufgtduWs gpedfrcafions. Yhls does ink AGA-GAMA CaWgtuy I Central F'mrrtace Venting Tables for fare ass*d aid natural draft appuane". Ye3X No ( ) T ' is sized and Installad to meet the current codes arld Mufac holds spedfmfons. YeS A No( } m4uked to . RVA be sized and installed to =at tit WrOnt Codes and mmufacturesspedficaVons. YesKNO( } the undersigned hereby verities that It iia Imo! asset»biy and meets the curfrrt Codes and marrufec urer's speclft bort' This does hdude AGA-GAAitA Category I Central Furnace Venting Tablet far fan assisted and natural draft appgances. Yes No( ) Is the CCM=h wllnt and vela connectors alZed ltd Mailed correctly after an eppbnoe has been removed from the cxurtrnon vent and vented �RamtNY aS Per *,anent Codes. Y41\lo (; ) Ittp_t_And%ke4CRz=n VPn* 2nd VAnt i" RR1P � AWJam #2 Type "U Input 1 aw* Fan Assisted or hlat 1,54 BTU input Fara Assist®d or Nat,_ Apel roe #3 Type BTU input��� Fan Assis'fed or Nat,_. Tatai ft Input, .�. Cnrnrnon flora Type' v Venti lelg, _._ Diameter inoes Appkm 01 VentcannecwrHeigttt_..._ft Lpjvth __ ft Dimmer1in Type AP ansae VentConnet }te�ght_,_ft Length—ft a memer______�in Type�___,� APOMM#3 Vent Corm ckw Height ft Length _.lft Dameter in Tysq Al XPR&JIM. TOTra'" P.03 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS 7348 SYMPHONY ST NE PIN 113024240084 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00260 DATE ISSUED: 02/24/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. REPLACE FURNACE AND AIR CONDITIONER # INSPECTIONS APPLICANT PHASE ELECTRIC INC 9917 LYNDALE AVE S BLOOMINGTON, MN 55420 - OWNER MERRYMAN KENNETH & MARION A 7348 SYMPHONY ST NE FRIDLEY, MN 55432 1 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date. STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MIN (RESI) 20.00 TOTAL 20.50 PAID WITH CHECK # 17099 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.