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PRE 2010 DOCSCity of Fridley, Mum BUILDING PERMIT Date: Owner: �1- Address Builder „er"�____ Address N° 5872 LOCATIPN OF B NG No. Street y� Pari of Lot Lot �._...__ Block on or Sub -Division Corner Lot M Inside Lot _� Setback 4 Sideyard_ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used Front Depth. Height ol--4—. Sq. Ft.Cu. From Depth eight ,j0 Sq. Ft. 1 Cu. Ft. Type of nstruction Fst. C , ..:.-40 't'o be Completed _ In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. d In consideration of the payment of a fee of $ permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violatign of any of the provisions of said ordinances. — ' �.& "F j - Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing,: gas heating, sewer or water. Be vire to we the Building Inspector for separate permits for these hems. — 4 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIM2 MINNESOTA je Owner rs Name Bu3l.der� /+�' --A Address Address „:2111 No. 167/ LOCATION OF BUILDING of Lot , .._..._ Lot ,�� Block Addition or SubdivisioH 4-, Corner Lot Inside Lot Setback;8 Side -Yard - SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 9 9 �. Frontes .Depth H@fight , Sq. Ft. ZA /,� Cu. Ft. Front f Depth ® Height,, Sq. Ft. _VV® Cu. Ft. Type of Construction __Estimated Cost To be Completed i -,, Ir. /�& Z -- The The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE & / �® SIGNATURE (A Schedule of Fee Costs can be found on the Reverse F BUILDING PERMIT FEE SCHEME Section 2a 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 m mer herein provided to -wits 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire- proof 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 01.25 for each one thousand cubic feet, classified-as."fireproof" by Section 502 of the Minneapolis Building Code, F.OUSW 2,3. For any such permit for the erection of any non -fireproof building other 'Whan a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4e For any such permit for the erection of any north -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. P3inety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpolq oi' computing fees for building permits the cubical contents of any building or addition to a un"orm height throughout by multiplying the ground area covored 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 i'a.te of $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of all proposed work. 2.6. In no. case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. Application for Power Plants and: Heating. Cooling. Ventilation, lefrigerand Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ ,r .each add. 60,000 BTU ...................... . Replacement of Furnace .............................. Repairs & Alterations up to $500.00 ... ............ Repairs & Alterations each add. $500.00 ............... STEAM or HOT WATER SYSTEM 8.00 $ t, Dept. of Bldgs. Phone Phhone SII, 4-744j7000 T ... -as 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 arm true and correct. 2.00 $ _ Owner _ %.00 $ Kind of 5.00 $ 2.50 $ Used as 1 Furnace Shell & Lines—to 400 sq. ft. EDR Steam- ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ t/ 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 FEE `fes ROUGH FINAL 19 To be completed about Estimated Cost, $ U v Old New uilding Permit No.� O`J Permit DESCRIPTION OF WORK HEATING or P WER PLANTS Steam, H� it WWa ,WarAAifr—�,o Trade Namea2 &[�(�i.C�CJ Size No / Capacity Sq. Ft. E.D.R- (0/ �Ie 027 BTU H.P. Total Connected Load Y Z/ Kind of Fuelqi BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N. WELTER HEATING C® Signed 4637 CHIUAUEJ VE. By MINNEAPOLIS 7. MINNEEg1277A W42 2M 7-59 Business Phone No . J_' 9 JP 4 7-- City of Fridley Application for Plumbing and Gas Fitting Permit D DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures x $1.50 Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 Catch Basin ...... .................. .. x 3.25 Water Heater (Up to 200,000 BTU) ...... �x 2.00 New Ground Run Old Bldg . ............ x 3.25 GAS FITTING FEES: NO. RAI 1st 3 Fixtures .......................... x $1.50 Additional Fixtures ................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code x .50 x 2.00 TOTAL 0 , -.5 Cd TO/TALL $ $ ept. of Bldgs. Phone SII 4-7470 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, Minn 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old-(!5Ne 7BUilding permit No C'Z ermit No. (--:;Pl �Q Signecl,• By �� Business Phone No ROUGH FIN Description ................................................ TOTAL FEE $ 42 2M i xi^ Z~z �a 8z iaT32 OS1�� ( �U' WU �U' UN' z • R • N WATER HTR. GAS ELEC. u. V <3 °d e4 �p m Base / 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures x $1.50 Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 Catch Basin ...... .................. .. x 3.25 Water Heater (Up to 200,000 BTU) ...... �x 2.00 New Ground Run Old Bldg . ............ x 3.25 GAS FITTING FEES: NO. RAI 1st 3 Fixtures .......................... x $1.50 Additional Fixtures ................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code x .50 x 2.00 TOTAL 0 , -.5 Cd TO/TALL $ $ ept. of Bldgs. Phone SII 4-7470 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, Minn 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old-(!5Ne 7BUilding permit No C'Z ermit No. (--:;Pl �Q Signecl,• By �� Business Phone No ROUGH FIN Description ................................................ TOTAL FEE $ 42 2M City of Fridley Application for PlumWing and Gas Fitting Permit D DESCRIPTION OF WORK Number, Kind and Location of Fixtures N I Y Zai K Z 80 is .: o ? z t F t N WATER HTR. GAS ELEG 3Ci n R o� aZo S < U$ �§ a0 N Base / 1st 2nd 3rd 4th • Future Connection Openings Connected with e New Fixture, Old Openings I Sewer Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... x $1.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... .................. .. x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ e New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE_ TOTAL� 1st 3 Fixtures .......................... x $1.50 — I Additional Fixtures .................... / x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code UPI. of Bldgs. Ph�o`nee ISII 4-7470 r —.&:— 7' tr ( _. 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, Minn- — � , 19 Owner Kind of Building Used as To be completed about Estimated Cost, Old -(Ne 7Building Permit No. 1/ "'®re—it No. Signe By Business Phone No ROUGH FINAL Description ...........$C� TOTAL FEE $ a z 2M It r SUBJECT City of Fridley 3 116 7 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. `v -------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF AOPROVED BY ��"',•� L „ 612-571-3450 910415 3/12/01 10B ADDRESS 7351 Symphony Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Byron & Nona Eliason 7351 Symphony Street NE 763-784-4681 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO LaMill Construction 5921 Otterview Trl, White Bear Lake, Mn 55110 651-429-6007 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20168720 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Interior alteration to finish basement 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $12,000 @6.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT W DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STAT OR LOCAL LAW REGULATING CON- $209.25 Fire SC $12.00 STRUCTION OR ;WE PERFO AN OF CON CT ON PLAN CHECK EE TOTAL FEE )w /?'1h) Lic se SC $5. 32.25 $I ATURE OF CON -PAC R OR AUTHORIZED AGENT IDATEI M PROP D THIS IS�Ui PFy�I:�� B G INSv � 'V�ALIapOA / DATE SIGNATURE OF OWNER ,IF OWNER BUILDERI IDATEI It r PINK 114 -Lit FROM CITY OF FR I DLEY TO NEW I1 Awl t CITY OF FRIDLEY ALTER �1' SINGLE FAIV ILY AND DUPLMS R•1 AND -2 BUILDING PERMIT APPLICATION Construction Address: _ Legal Description: Owner Name & Add Contractor: �IR.9 6..516533866 P.03/04 EiieCpve 1/1/2001 (753) $72 Insp Attach to this applioption, a Certificate of Survey of the lot, with the proposed construction dram on it to scale. Type:Construction VV 0 Driveway Curb Cut Width N Ft. s 6 Ft = Ft x $ s $ 9MLNLYmm Call (753) 572 for Permit Fwe If wailing in appii at ion Permit F $ -,Q-5 Fee Schedule on Reverse Side Fire Surcharge $ I'a`n ` 00 .001 of Permit Valuation (1/10th%) State Surcharge $--L e 00 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge 9 .$5.00 (State Licensed Residential Contractors) Driveway Escrow Alt, "A°` or Aft. "W Above Erosion Control $_$450.00 Conservation Pian Review Park Fee $ Fe+e Determined by Engineering Sewer Mafn Charge $ Agreernent Necessary j) Not Necessary C I TOTAL STIPULATIONS: 0 TI 11 SUBJECT City of Fridley 33� 10 AT THE TOP OF THE TWINS ?-,d—RfiG&Prlq''O BUILDING P E R M I T f i `V ______ COMMUNITY DEVELOPMENT p r � � PROTECTIVE INSPECTION SEC.. 1 ; i NUMBER pEV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 8/18/03 JOB ADDRESS 7351 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 4 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Byron Eliason 7351 Symphony Street NE 763-784-4681 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO LaMill.Construction 5921 Otterview Tr White Bear Lake MN 5 110 651-429-6007 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20168720 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION II REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace Windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 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 $8,000 $4.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - Fire SC $8.00 TR TR CTION OR TWE PERFORM CE CONSTR CTION PLAN CHECK FEE TO L FEE License $5.00 $ 0.25 SIGNATURE OF CONTRALTO OR auT40R4E0 AGENT (DATE. N OP ALID BLDG —- A THIS IS_PDUR PERMIT S-GNATURE OF OWNER,iF OWNER BWLDERi iDATE, 11 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ' Construction Address: 7;3 / Q!5� 409/f2d L! 6 Legal Description: Owner Name & Address: QAJ Tel. # Contractor. 1�1i/� �Ui1��� aa;�.RJ MN LICENSE # AF -d �?D//,fZa© Address:spa/ r� P. Alm �s� %Q. Gl%/�iI r�✓o�Z ,CSC! /0% , Tel. # 6eq 6007 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: a1,74o w *1aneAMjZ Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:/y_'"O f APPLICANT: a2gadl 4'&2!® Tel. # 6,g/�-600 Call (763) 572-3604'for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ $ $ On $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ) n • �S� BUILDING PERNM FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the, proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only