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PRE 2010 DOCSCity of Fridley, Mim. LUIIDING PERMIT N9 Date:_J — d9- _ Owner: Address X - Builder Address`` LOCATION OF BURRING No. Street Part of Lot Lot_ Block Adclion or Sub -Division may.M,. Corner Lot Inside Lot --- Setback .- Sideyard Sewer Elevation Foundation Elevation --- DESCRIPTION OF BUILDING ,Used Front _ Depth_ Height Sq. Fi. Cu. Ft. or a-sFront Depth _noght Sq. Ft. '� '`° CM Ft. Of nsiruction Est cost """"o be Completed Type _ �._. 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 Co— 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 city limits and this permit may be revoked at any time upon violation'df� y of the provisions of said 412 . [.sic Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these penis. APPLICATION FOR BUILDING PZMM CITY OF FRIDLEY, MINNESOTA: Owners Name o,.4Builder Address Address OF BUILDING No. r StreetPart of Lot Lot Block Ad 'tion or Sub.Div.� Corner Lot side Lot Set Back Aj Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To b used as: p Front �16 Depth Height c' Sq. Ft. Cu. Ft. r, Front-__pept# Heightt,,_,,,�,,,_� Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Bctil.dings, and hereby declares t all the facts an epresenta- tions state in this application are true and co. SI RF FATE � GNATU (A Schedule of Fee costs can be found on the Reverse Side.) BUILDING PEI aT FEE ,SCHEDULE 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 building or structure, or for any alterations or repairs to an'y 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':hersin provided to wit: 2.1. For any such permit for the erection of any fire -proof butlding,.other than a 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 .1.40 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., ware- house, armshouse, 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 J1..25 for each one thousand cubic feet, classified as "fireproof".._ by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -- fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any.non fireproof addition, for similar occupancy, to any existing building or' for each such building or addition. Ninety Cents for each one thousand cu'bic'feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits thecubical 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. 4v �i �_ ��� �� OWNER: SITE ADDRESS: CONTRACTOR: EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE PHONE: Determine working square footage of each 1. Total exposed wall area...... sq. ft. x .17 = 2. Toal roof/ceiling area ...... sq. ft. x .05 = Total exposed wall area above floor = a. Total walk_.. ndow area;..' . .............................. b. Total door ar ........................................... c. Total sliding glass door area ......................... d. Total fireplace wall area .......... e. Total wall framing area (average 10%) .................. f. Total rim joist area ........... .. .. ... g. wall area above floor.... 9. ....-K'...l4 ..: • .... . h. wall area above floor .......................... i. wall area above floor .......................... j. wall area above floor .......................... Total exposed foundation area = k. Total foundation window area ........................... l. -Total net foundation area above grade ................. Determine "U" value of each wall segment (e.g. window, door, each separate wall section) a. X clutt = b. X "U" _ C. X hull = d. X "U" _ e. X "U" _ f. X "U" _ g- X #lull _ h. X Stull _ i. X "U" _ jX "U" _ k. X "U" _ 1. X °1U1° _ 3. Total = Page 1 of 4 If item #3 is the same as, or less than item #1, you have met the intent of SSC 6006 (c) 2. n Exterior Envelope Average "U" Computation Page 2 of 4 Total exposed roof/ceiling area = M. Total skylight area ............................ n. Total roof/ceiling framing area (average 10%)... o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment M. X "U" n. X "U" _ O. X "U" _ 4 ........................... Total = If total of #4 is the same as, or less.than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. _ k 3? + 4. _ WALL SECTIONS .-.NOTE: Use 10% of opaque wall area for frame construction FIG. #1 FRAME HALL __1G. #3 c Page 3 of 4 Construction R -Value 1. Interior air film 0.68 2. er P- 3. 4. pe eAJ 6 6 6. Exterior air film r 0.17 Total ° 1. Interior air film 0.68 2. -, 3. 4. e� .. 5• i 4 6. Exterior air film 0.17 Total Interior air film 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 Total SJ 1. Interior air film 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 Total ("(- �--� ---��( a •• .. • � 6. � . 10 FIG. #4 lit NOT?,: Indicate type, "W' 'value, depth and placement of insulation. ROOF/CEILING 3) r{4 VENT /1Jt��tL�r?s41.IV-1i1+ �= ` �t-<D Vented Heat flow up FIG. #5 Page 4 of 4 Construction R -Value 1. Interior air film 0.61 2. 3. 4. Exterior air film (still) 0.61 Total 1: Interior air film 0.61 2. 3. 4. Exterior air film (still) 0.61 Total J }:eat floe up ; ventede .•FIG. #6`..... 1. Inside air film 0.61 — 5-- 2. 3. 5. Outside air film 0.17 �,. '• f----.'�t`�,�°°� _ , '--� Total Note: Use additional sheets if more space is i 2 needed for details and calculations ° NON—PEh'TF.D • • . Heat flow up •' FIG,. 47 ' City of Fridley SUBJECT PE®13'741 AT THE TOP OF THE TWINS BUILDING PERMIT r ;. CEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/7/76 Jos ADDRESS 7358 Symphony Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11 5 Melody Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Thorward Johannsen 7358 Symphony Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 14' Addition to back of garage 9 CHANGE OF USE FROM TO STIPULATIONS Get XMY release from neighbor. Addition to be used as storage only. Provide sketch of addition. WARNING aefort diaiag No Iml AM" TELEPHONE • ELECTRIC 44 Etc., SEPMIT twMIS 0 PIN WING, R�Q1J1R�© BY LAW HEA11t�„ PLUIMILM AND SMN& TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Fr%tIIl6 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 $1,657 $.83 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- $8.96 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $9.79 SIG TUREOFCONTRAC CONTRACTOR THORIZEDAGENT (DATE) P PER Y VALIDATED THIS IS OUR gRMIT 71 q _ SIGNATURE OF OWN 11 OWNER BUILDER) IDA E1 BLDG. INS[ DATE Lt i Y ur rKiVLCT. APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S AM /..ill , Il/.. �. i/� 1,%1/L<�a./L.- /BUILDER: .,.� <•�mL.nl ADDRESS: LOTit :_ BLOCK: V ADDITION: CORNER IAT: kl"- INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two CerL-ificates of Survey of Lot and proposed building location drawn on these Certificates, DESCRIPTION OF BUILDING To Be Used As Front:__/Depth: Height: Square Feet: � Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: 09 Type of Construction; Q Estimated Cost: $ �o To Be Completed; 6 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 are true and correct. DATE: 7' SIGNATURE: (See Reverse Side For Additional Information.) y Fv. -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: ]1EW CONSTRUCTION: Single Family Homes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. 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 average4 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 $7.50. 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, showingthe 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 been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. r LAW OFFICES OF E. A. RAUN RAUN, FRANCK, MUNDT AND NEPPER R. E. FRANCK MICHAEL R. MUNDT ALLEN K. NEPPER DENISON. IOWA 51442 Leona Beermann Johannsen 7358 Symphony St. N.E. Fridley,, Minn. 55432 Dear Mrs. Johannsen: PROFESSIONAL BUILDING 203 NORTH MAIN PHONE 712-263-3159 OFFICE AT UTE, IOWA 51060 PHONE 712-585-2271 In re: Lena Beermann Block Estate As the attorney for your mother'.s estate I am in the process of preparing the Preliminary Inheritance Tax Report and I am in need of your Social Security No. Would you please send this to me at your earliest convenience. Thank you for your cooperation. EAR: mjp 8-25-76 Very truly yours, RAUN, FRANCK, MUNDT & NEPPER B y : 6t.�„--� ,71 7 J -7 60 i I�F CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $'30.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer .$10.00 $ . *Air Conditioning -& gym" ^ , I — a _I _ h $ 25.00 $ C�0 All Others/Repairs & Alterations (LIST ON BACK) I % of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work State Surcharge $ .50 TOTAL FEE p-S.ED MINIMUM FEE FOR ANY HEATING C/ OOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining properly owner. Effective On January 1, 1997 JOB ADDRESS ' _-) 557 QM OW 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. — l- ,1998 OWNER_ T1ADrv\mtd 5oA(A ri rim vi BUILDING USED AS jAfP/1� ESTIMATED COST [ to � PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER - No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel .Total Connected Load Burner Trade Name BTU HP Size No. EDR . BLAINE HM. Ad'C ELECT., INC. 13562 CENTRAL AVE. N.E. HEATING4PJJV AN SIN 553cSigned BTel No. � 5 �7J� Approved By Rough -In Date FILL OUTBACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Final DatQQ �C CHIMNEY AND STACK VERNICATION The undersigned hereby verifies that the existing chimney or stack: 1. . Has been carefully examined Yes O No ( ) 2e Is free from rust or deterioration Yes( ) ' No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) S. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7e Has a liner been provided. for water heater Yes () No (). 8. Has combustion air been provided for water heater Yes.() No ( ) Remarks: . List ALTERATIONS Being Done: SUBJECT 0.1. City of Fridley 26896 AT THE TOP OF THE TWINS BUILDING P E R M I' f( r `NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 5$432 612-571-3450 910-F15 7/29/98 JOB ADDRESS 7358 Symphony St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE AT ACHED DESCR. 22 5 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thorwald Johannsen 735.8 Symphony St 786-1001 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 0 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 25 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 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 2085 $1.04 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. $74.75 Fire SC 2.08 PLAN CHECK FEE FTOTAL FEE icens C $5A0 1$82.87 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI H P RLY V I ATED THIS IS YOUR PERM) DG IN r ' _� gATE GGG//// S)GNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 bP4 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Tel. # Contractor:Ak� MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE -AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: � Construction Type: Estimated Cost: $C (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: _j '-h Tel. # % 6 — iv a TOTAL $- STIPULATIONS: r CITY USE ONLY Permit Fee 7 / $ �/ 7%�� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 0 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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: r R 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. SUBJECT PERMIT N City of Fridley '319 AT THE TOP OF THE TWINS BUILDING PERMIT 22_,) B _--__ COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. 572 ®3604 r , f/may NUMBER REV DATE PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 612-571-3450 910-Fi5 6/22/01 JOB ADDRESS 7358 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thorwald Johannsen 7358 Symphony Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Aluminum Supply Inc 7701 Main St NE, Fridley, MN 55432 571-3440 7983 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 [j ALTERATION ❑ REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace 22' x 10' Aluminum screen room 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Install per manufacturer's specifications. Permit inspection Cords Will Be Mailed To Homeowner To Post TYPE OrCONST. 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 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 $3.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,500 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. @ Fre SC $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $153.25 PLAN CHECK FEE AITAL FEE License 5.00 $16,/.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 40ATE, N PR P Y ATED IS O R PERMIT S-GNATURE OF OWNEROF OWNER BWLDERi iDATE, . BLDG ASP gAtE J S4 a �rmwmn I % 21 N", PA. I NEW[ ] .57/—,/2-3 7 Xf?4 Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY r G� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 V,L BUILDING PERMIT APPLICATION Construction Address: '-00#64'7' Legal Description: Owner Name & Address: Tit w rf c- U -i-6 Hq z, !�; WA.,,- Tel. # Contractor: PA Iwe i A L v eq , a ,,^ 3 tjo?L � ®� MN LICENSE # Address: Zk ( R.4(& 9 1114, fo-"AAli 7r Tel. # �'7!"�✓`t® 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 -7, Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK ARE Length Width Hgt/Ground Sq. Ft. OTHER: 4OLRO `L SCA 010Oi' 6 /airy Construction Type: )9 y in m,&/ Estimated Cost: $ % Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: bb- —b APPLICANT: j /- A '!,OA 5 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 5s CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contra Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Nec i V]sa11P4P— 1,51P —3 � Y33c�— X;V- - `• - 61j3jo� ez 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $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 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION e, 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. Q .. 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. COMPONENTS: VERTICAL MAIN FRAME 2" X 2" 8 Ft. or 10 Ft. standard length VERTICAL CORNER POST 2" X 2" 8 Ft. or 10 Ft. standard length TOP, BOTTOM AND WALL MULLIONS 1" X 2" 3 Ft., 4 Ft., or 5 Ft. standard horizontal length 8 Ft. or 10 Ft. standard vertical length (for wall) KICKPLATE AND DOOR MULLIONS 1"X2" 3 Ft., 4 Ft., or 5 Ft. standard length WALL, FLOOR AND TOP EXPANDER 3/4" X 2" 8 Ft. or 10 Ft. standard length KICKPLATE AND DOOR MULLION ATTACHMENT CLIP HEX HEAD/SLOTTED WALL ATTACHMENT SCREWS 1-112- X a10 HEX HEADISLOTTED GENERAL ASSEMBLY SELF DRILLING SCREWS 1/2" X e8 NYLON MASONRY DRIVE NAIL FASTENERS FIBERGLASS SCREEN CLOTHlow—am _ A� 38", 50" or 82" Width Standards� SPLINE FOR 0�% FIBERGLASS SCREENING ^� `0"C "STUCCO" KICKPLATE ALUMINUM KICK 12".18". OR 24" Height. 3 Fr., 4 FT, OR 5 FT. standard length SPLINE ROLLER WALL SEALING TAPE OPTIONAL DOORS UNIVERSAL DOOR CLOSER & STRYKER LOCK BRACKET Ci LASS %:SCREF�_ j ROO h ASSEMBLY & INSTALLATIC DETAILED INSTRUCTIONS & SUGGESTED PROCEDURI TCIOLS NEEDED: HACKSAW r f1ANIMEl i SNIPS [J'�Y KNIFE . r t' SCNEWDRRIER F: MEASURING TAPE 114-ELECMC DRILL r` DRILL BITS -118", 3116",114" L= CHALK LINE PLUMB BOB CAULKING COMPOUND MASONRY DRILL BIT 1f4', EACH h"U GLASS & SCREEN ROOM CONSISTS Oki COMPONENTS DESIGNED TO ALLOW YIRTUAL-LY ANY p J+ .tID INSTALLATION UP TO 1Q FEET kidilk �ECAUSE, l .:.OF,%THRs VERSATILITY, IT IS RECOmmwt D°Y11AT - YOU FOLLOW THE INSTALLATION PROCEbUREB CUT-' LINED HERE FOR OPTIMUM USAGE OF THE COMPOW ENTS SUPPLIED FOR YOUR SPECIFIC INSTALLATION.. LAYOUT & PLAN INITIAL A DESIGN © FRAMING READ INSTRUCTIO BEFORE PROCEEC OVERTICAL MEMBERS HORIZONTAL SCREEN OR MULLIONS//KICKPLATES O INSTALLATION O INSOTALLATIOI Another quality product from Wrisco Industries, Inc. pre-engineered for convenience and economy. MALIBU GLASS & SCREEN ROOM, PAG CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 7358 SYMPHONY ST NE PIN : 113024240083 LEGAL DESC : MELODY MANOR : LOT 11 BLOCK 5 PERMIT TYPE : HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION a PERMIT NO.: 2004-00163 DATE ISSUED: 02/05/2004 " 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, LENNOX, 70,000 BTU) # A/C UNITS 0 VALUE OF APPL OR WORK # FURNACES # GAS RANGES APPLICANT DAVES APPLIANCE HEATING & AIR INC 160137 AVE NE COLUMBIA HEIGHTS, MN 55421 (763)781-6901 OWNER HOESCHEN,AL 7358 SYMPHONY ST NE FRIDLEY, MN 55432 1 # GAS DRYERS 0 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 worts 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. Bldg HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 33806 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 El 0.00 30.00 0.00 0.00 0.00 0.00 0.50 30.50 CITY OF FR 'INSPECTION DIViSION 6431 Univerb.q Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning - All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION FREFRIGERATION/AIR CONDITIONING J!EBMIT IS $25.00 PLUS THE 5,50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr $ .50 $sem Lltective January ` LUUJ JOB ADDRESSD,55t) ti OWNER BUILDING USED AS ESTIMATED COST PERMIT NOAM-' ® QC)/ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water)arm Air Trade Name NIYI(7' Size No.— BTU '`1QI HP EDR Fuel —Total Connected Load Burner Trade Name Size No. BTU HP EDR 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Xl K �. irLIa DATE TEL.##����-la���) *Air Conditioners can not be placed in a side yard without Approved By Rough -in Date Final Date written permission from adjoining property owner. TME BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL. BE RETURNED nr- 10 �„ imVP ne tvranc e, the undersigned hereby verifies that the Whenventing has been examined and is free. from Host, deterioration, obstructions, Yes.0 No ( ) and is securely supported and firestopped where required. The venting system is plastic1pVC and meets all current codes and manufacturer Yes -60 No ( ) specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the curre nt o and i Central Furnace Venting Tables fo Ifanoes Include AGA G eg ry Yes klj Na ( ) assisted and natural draft appliances. The ---dine e -n bioatinn Air is sized and installed to meet the current codes Yes {) No {� and manufacturer's specifications. When required to it a Mss., ramb, InfinnAkit will be sized and installed Yes N No ( } to most the current codes and manufacturer's specifications. When ILInt2111nn !„A new vesystem, the undersigned hereby verifies that it is a fisted assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No`s Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes ( NO ( ) separately as per current codes. �l�nt And Ven Cann ppijance-Jme and Appliance #1 Type -i�Cemman BTU Input Fan Assisted or Nat Fan Assisted or Nat Appliance #2 Type Appliance #3 Type BTU Input _ BTU Input Fan Assisted or Nat Total Appliances �. Total Btu Input _ ...... /A Vent Height i„�_.___ Diameter inches AWVent Type . IGOMW . _ Appliance #1 Vent Connector Height,_ Appliance #2 Vent Connector Height_ ft Length �ft Diameter in Type ft Length ___ ft Diameter in Type _ Appliance #3 Vent Connector Height ft Length It Diameter in Type ..� -- HEATING CO: Signed By: Date : — Building BUILDING _ Permit NO. Inspections J RESIDENTIAL IAL APPLICATION Received By 763-572-3604 Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ CITY OF r'RII�I+ Y Surcharge 7$3-502-4977 FAX .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) EFFECTIVE 1-1-09 $ DATE `0aa YOUR E-MAIL ADDRESS Curb Cut Escrow SITE ADDRESS eis Vye QNNO re �J 5+0 N a ft + 6 ft = ft x'$21 = $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: —S®�\ V% C r- o m 6 I e Fee Determined by Engineering TENANT ADDRESS: 7 3 5 T S rrf J le �j STATEMN zipG 51-130 Total Due PHONE: 63 H Ld J '511-7 c0q. ?3 Make checks poyable to: City of Fridley Attach Stipulations CONTRACTOR NAME: %r\ A®W C. ®irs C e-p�- 's SUBNIIT A COPY OF YOUR STATE LICENSE STATE LICENSE # 0 C) 3 L4 9 ERCP DATE -3-31-11 AND CERTIFICATE OF ADDRESS:990 L®ti a ®al� ed t S-Ve 1114 CITY 15q STAT]j�gZIP $/ INSURANCE PHONE & 51 C70 G 0 10 r� FAX G51 e ®e; B PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED NWS ❑ BASEMENT FINISH 13 ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION IAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ire ® ®0.0 2 oda % r A ®W 5 N trN 'e:y 1 S Al n Q ® mi i n C3 5 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY 13 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ J OCCUPANCY TYPE Permit Fee $ Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 4 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MV."CC for determination) Curb Cut Escrow $ ft + 6 ft = ft x'$21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ c0q. ?3 Make checks poyable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of al work which •equ' ps review and approval of plans. SIGNATURE OF APPLICANT pRINT NAME L v Q Y1.0 SG� ml.e5i'hn DATE � � '" i