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PRE 2010 DOCSAddress Address No. Street Lot M _ Block Corner Lot . Inside Lot -; Sewer Elevation Foundation Elevation Y DESCRIPTION OF BUILDIN, G „ To U"4 , , Front. Depth Height Sq. Flt Cu. Ft ` Fro Depth ' eight It 101 .... Sq. Ft. Cu. Ft Type -7f coon Est Cost ''To be Completed r 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. Aft In consideration of the payment of a fee of $ �jxa""""� , 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: M penult does not carer the construction, inshlhiffen for whing, rhunhi ng, Has heath* cower or water. Be core to we the Building Inspector for separate permits for these haus. k APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA C.E RON, INC. Owner `s Name _ ® Builder GENERAL CONTRACTORS —' 2500 22nd Ave. N. E. Address Address. M7'1'1Teapolis 18, lvgin,n„ LOCATION OF BUILDING NO. � ? Street. -5e �9 Part of Lot 7 Lot_ ,z.: Block Addition or Subdivision Corner Lot Inside Lot tom' setbackSide--Yard 1e,� �? SMIER ELEVATION FOUNDATION ELEVATION. d Applicant attach to this form Certificate of.Survey of Lot'and proposed building location. DESCRIPTION OF BUILDING To be used as: Front �� a th �JHeight e5" - Sq. Ft. cu. -Ft, 10C'' FrontDepth__, Height Sq. Ft. Cu. Ft., Type of Construction 77%�,)J-/w,/----- Estimated Cost�,�Z- -5- 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 of`Fridley ordinances and ruling of the Department of Build- ings, and,hereby declares that all the facts and representations stated in this application are true and corre�.� -------- DATE SIGNATURE".�' (Schedule of Fee Costs can be found on the Reverse Side). r�� BUILDING PERMIT 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 any existing building or structure, uponapplication therefor, require the payment by the applicant for such permit of fees to the amount here:,n below set forth and in the manner herein provided to -wits ,2,,a. For any such permit for the enaction 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'. 2.22 For any such permit for the erection of any fire -proof 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 $1.25 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 build- ing other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy,, to any existing buildings Permit $1.00 for each one thousand cubic feet. AGES 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 cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose or computing fess for building permits the cubical con- tents 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 g!_able of a pitched roof. 2 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. 2. 6, in no case shall the fee charged for any permit as set forth in Section ,2 be less t' n $4.00. M1 . City of Fridley Application for Plumbing and Gas Fitting Permit Dept, of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures IiO�O"10 I� RATE �y1 a N x $1.50 $ xyG i $ OZ x 1.00 0 J i7 NU z 00 WATER HTR. • F N GAS ELEG x 2.00 $ 2 OO New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........................... Z x $1.50 az Additional Fixtures ..................... x .50 $ O x 2.00 $ Base 1st I / 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES:O. 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 $ 2 OO New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........................... Z x $1.50 $ % 6 Additional Fixtures ..................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS 8c ALTERATIONS—Refer to Code Description ...................... ....... _.................. $ TOTAL FEE $tom" 15,5-0 City of Fridley: / r' 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. Fridley, Minn �✓ 1 o'er Kind of Building Used as To be completed about Estimated Cost, $ � f � Old—New. Building Permit No /��// Permit No. Signed Ad ,�.�ne✓ By /. Business Phone No.�- ROUGH C 6 FIN 91>042 2M 7-59 Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR «� Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ S.UAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ v Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ `- GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ........ x $1.50 $ Additional Fixtures . ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL Dept. of Bldgs. Phone SU City of Fridley: V 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. Fridley, Minn Owner -�o-vi✓ , Kind of Building1-g-- _ Used as To be completed about Estimated Cost, Old New.,} Building Permit No. __oZ ✓ Permit No. c DESCRIPTION OF WORK HEATING or POWER PLANTS—Sten , Hot Wate Warm Ai -) No Trade Name A_�mif�� t Size No Capacity SqF't E.D.R. B t� BTU H.P. Total Connected Load _�,, C;Z Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N. WELTER H EATI N G'= - Signed 4-63 _ r... r _ S S AVE. By MINNEAPOLIS 7, MINNESOTA .kV 42 2M Business Phone No e �" .1'a HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS ., 171 i r F e nj oo t e/ ` Width Height _ (' RoAmAwngtW Width 9 "'Height 1S` Windows and Doors—Crackage`and Area pan Height. lig of Lineal Windows and Doors—Crackage and Area WWidth Height No. of Lineal ft. Area No. of pane of pane lights of crackk Area .q, ft. No. of pane of pane lights of crack sq. ft. TF t� Coef.1 Btu Infiltration , a Glass �y Exp. wall jj', Net exp. wall Int. wall Ceiling ®j+ a . X Floor+'r Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1;' Total Btu. �+ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room Length 4 Width .--Height :•� Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light. of crack sq. ft. .�1 1f A Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.13; ,,-W, Room l Length WidthC Windows and Doors—Crackage and Area Width Height No. of r 'i.eal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration I IS 9' fit Infiltration Glass �. ro 4* Glass $'a Exp. wall /,I .le J7 Exp. wall 7 x ) �� Net exp. wall ,i°' " ec -(> Net exp. wallelf Int. wall I zo 9,0 Int. wall - Ceiling r° Floor �$ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 F1.1 RR&4- Room I Length Width eight T Windows and Doors—Cracki ge and Area Coef. .Btu Infiltration Glassy. Btu Coef. Btu Exp. walla Glass Net exp. wall PIA -'o /7-f Int. wall Exp.':.wall 'ti Net eiip. wall% Ceiling e4lrFloorEZ t+ ` Int. wall': . Total Btu, r Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.13; ,,-W, Room l Length WidthC Windows and Doors—Crackage and Area Width Height No. of r 'i.eal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration I IS 9' fit Infiltration Glass �. ro 4* Glass $'a Exp. wall /,I .le J7 Exp. wall 7 x ) �� Net exp. wall ,i°' " ec -(> Net exp. wallelf Int. wall I zo 9,0 Int. wall - Ceiling r° Floor �$ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 F1.1 RR&4- Room I Length Width eight T Windows and Doors—Cracki ge and Area Width Height No. of -,y, Lineal ft. Area . No. of pane of pane ligghts. = , of crack sq. ft.ff Coef.1 Btu Coef. Btu Infiltration' Glass . Glass Net exp. wall Exp.':.wall 'ti Net eiip. wall% . t+ ` Int. wall': . Floor Ceiling ' . it Floor► -Ceiling t f° Floor 1-74 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 m I _ R— i I ...th - 4 w;dth V f 14p;oht Windows and Doors-Crackage and Area ` Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling J CJS Floor Total Btu. ; f �' ;� Total Btu. Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Required sq'. ft. E.D.R.,or sq. ins. W.A. Leader area Permit Fee $............................ APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT No. P ........................ Dateof issuance ------------------------------------------------------- 196 ...... Location .................................. -------------------- ........................... Minneapolis, Minn ................................................. 196.. ---- Inspector of Buildings The undersigned hereby makes application for a permit for the installation, alteration or repair of a heating, air conditioning or ventilating system, device or equipment, as herein specified, «ghreeing to do all such work in strict accordance with the City Ordinances and rulings of theDejoar•tritent of Inspections and the specifications set forth, in this application as approved and filed in the Dcpartrnen.t of Inspections. Owner---------------------------------------------------------------------------------------- Address of Owner ---------------------------------- ------- •----- Kindof Building •-............................................. How occupied ------------------------------ ------------_..._.-..-----•----•-- Work to be started --------------------------------------------------- 196------ Work to be completed --------------------- -------------- 196 ------ Estimated Cost$-------------------------------------------------------------- Old — New Building Permit No. -------------- ----............ DESCRIPTION OF WORK Note: Insert the word install, add, alter, or repair, according to which is to be done. Under "Remarks," itemize removals, if any, and alterations to equipment. .................. .............................. Mechanical Warm Air Heating Plants—Furnaces ................ ....... r,.......................................... Make----------- ----------------------------------------------------------------------- ---------------------------- Size ------•-•--------------------•------------- ------------------------------ Connectedload ------------------------------ --•-----------•-----------••-----------..................... Capacity ---------------------------------------------------------------- Air Conditioning System: Summer — Winter — d ZZ Year:.................................................__.._..............._..............-- Make------------------------------------------------------------------------------------------ --Capacity ....................................... Cfni................................. ....................... --------•--...---._.....-•-•-----....-•-----•--------•-•---------------•......-•-••...................................................... ........................................ VentilatingSystem: Make .................................................................. Capqcity.------......---•--------•-----. Cfm........ ...................... ......................................................................................... Remarks- --------------------------------------------------------------------- --•---•------------- --•-••------.................•--------•-......................------ .......--•----•-- ... ..................... --•-...•• ..........................•-...------ ✓1 pproved--------------------- D-20 a a ............. --•----•-•--------•-----•--•-•-•-•-•-----•---------------------------------- ------------------------ ---------------------------•-------•----•-•---.......-----------------------.....-----------••---- .....----• ----•------------------•------.......-----•--•----•---•---------•--•-----------------•--------•-------•----•••--- -------------------------------------------------•-----------------.............---- Signed------------------------------------------------------------------------ By-----------•-- -----------•-------------------------•------------------- ----•------1196------ elddress-------------------- -------------------------------------- ........................ Telephone--------------------- --.._. Inspector. Application for Power Plants and Heating, Cooling, Ventilation, Rehigeralion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to.$500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU 2.00 $ Replacement of Furnace 5.00 $ 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 .................. 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) ............ I .......... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures .............. . x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ ;SAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE o� $ ROUGH FINAL 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts 5nd representations stated in this application arp true and correct. Fridley, Minn `\� / 0 , 19603 Owner i®'3') -- 7V Kind of Buildin91 g ��✓�'� Used as To be completed about Estimated Cost, $ Old -New, uilding Permit No. (2 Z �yrmit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Wa Warm Air No Trade Nam e�NO..5el 6_e� Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load "�10i Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) IRAY N. WELTER HEATING CO. Signed _ .J , 8AGGI AVE. By MINNEAPOLIS 7, MINNESOTA w 42 2M Business Phone No 52-84--5915.51 City ®f Fridley Application for Plumbing and Cas Fling Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK 7371. N E SMhony St Number. Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...... ............... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ NO. RATE TOTAL — x $1.50 $ x 1.20 $ X 1.00 $ — x 3.25 $ — x 2.00 $ — x 3.25 $ 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 $ Gas Dryer 1 2.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 2,00 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, Minn.—. 9-29-66 19— Owner Dal a TbDie t. Kind of Building frame Used as �'ee To be completed about 10-x-66 Estimated Cost, $ 1.0.00 Old—New. Building Permit No Permit N ROUGH FINAL 42 Business Phone �� OZ R r N WATER HTR. GAS ELEC. U Base nsa aS er 1st 2nd 3rd 4th • Future Connection Openings Conn®cted with sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...... ............... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ NO. RATE TOTAL — x $1.50 $ x 1.20 $ X 1.00 $ — x 3.25 $ — x 2.00 $ — x 3.25 $ 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 $ Gas Dryer 1 2.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 2,00 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, Minn.—. 9-29-66 19— Owner Dal a TbDie t. Kind of Building frame Used as �'ee To be completed about 10-x-66 Estimated Cost, $ 1.0.00 Old—New. Building Permit No Permit N ROUGH FINAL 42 Business Phone 53-64-S-915.51 PARTIAL RATE SCHEDULE M& ZATC TMAL 111111111 iiiiiijii M3 rm ........P.. P.....O x. SMam xmv to mom &Tu ......... -zmm state 3u .50 Doediom ....,,Install Gas. rill r ........... 5.00 ,y+�^, Mm W Surcliame zoo 7371 N. E. S pony Street .,1 RON ..LR y L"'-" - - ink man, 6-27-7' ovow Dale E. Tppie Q Kmd ®t Bumft Frame . . Used m Res. t City of Fridley AT THE TOP OF THE TWINS SUBJECT B U I L D I N G PERMIT -PIER '0. -__, __ 18292 r • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 R . D rl NUMBER 910-F15 REV. DATE 11/12/85 PAGE OF APPROVED BY JOB ADDRESS 7371 Symphony Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. Dale Topic 7371 Symphony Street N.E. 784-5606 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. M. B. Roofing 6544 Anoka Street, Fridley 571-5390 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 Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $2,000 SURTAX $1.00 OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE OV SIONS OF ANY OTHER TATE OR LOCAL LAW REGULATING CON- S R CTIO HE PERFOFWANCE OF CONSTRUCT N. $32.50 p^ PLAN CHECK FEE TOTAL FEE $33.50 SIGN(UREOFC NT AC RORAUTHORIZEDAGENT (DATE) -WHEN PROPERLY Y.41DATED THIS IS YOUR PERMIT PATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] City of Fridley ADDN. [ ] R-1 AND R-2 A ALTER. [ ] Building Permit Application Construction Address: Legal Description: LO f q Owner Name & Address: 3 _71 - Contractor: -Contractor: Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Effective .4/1/84 Tel. # -Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length --�/ Wi h Hgt/Ground Sq. Ft. OTHER: L..e�� Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback 0 eo Type of Construction: Estimated Cost: $ Approx. Completion Date: /1/- 3 d Proposed Driveway Width If New Opening Is Desired: DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Alt. A Alt B $ $ See Back Page for Explanation APPLICANT: Tel. #t CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, -or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. Yes ( ) No ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .So ($15.00) TOTAL FEE $ /-5� 0' Effective Date May 1, 1988 Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a Permit -for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this aWkication 4re trtrrue and correct / Fridley, Mn. 0 i 19 OWNER ( +Q l U /i 1p 0 , KIND OF BUILDING USED AS 1 ) ! fi 10 I I .' TO BE COMPLETED ABOUT 42�1'r2 ESTIMATED COST, OLD - NEW BUILDING PERMIT NO. PERMIT NO. (® a Company . %J 4 Signed By r Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE e ro b� c N U a d Water to + m H `44 m o g ro w ri �W w tp Heater to u W S o w m w UanQ3 U U O s 1ec aanp 1st 2nd 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 $ Old opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. Yes ( ) No ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .So ($15.00) TOTAL FEE $ /-5� 0' Effective Date May 1, 1988 Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a Permit -for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this aWkication 4re trtrrue and correct / Fridley, Mn. 0 i 19 OWNER ( +Q l U /i 1p 0 , KIND OF BUILDING USED AS 1 ) ! fi 10 I I .' TO BE COMPLETED ABOUT 42�1'r2 ESTIMATED COST, OLD - NEW BUILDING PERMIT NO. PERMIT NO. (® a Company . %J 4 Signed By r Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE ILI SUBJECT PERMIT NO. City of Fridley 32048 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT N a.•----- _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ® NUMBER REV DATE PAGE OF APPROVED BY E _I---% CITY HALL FRIDLEY 55432 �'-"R•� ' 612-571-3450 910415 7/31/01 JOB ADDRESS 7371 Symphony X*XiT& Street 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 19 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP UAW PHONE Mr. &Mrs. Mahan, 7371 Symphony Fridley, MN 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Installation Services, 12322 Business Park Blvd, Champlin, MN 55316 763-712-8881 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20273829 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof (tear -off) H & G 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIONZONING SO.FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISION$ OF LAWS VA— ATIO SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED , 70 if3>I�%1171�3X1.25 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE -7-31-o % cen $5.00 1 $92.09 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PROPERLY VALIDATED THIS IS YOUR ERMIT 44EN SIGNATURE OF OWNEROF OWNER BUILDERL (DATE� rNSR DATE ILI NEW [] ADDN [] ALTER [ ] Construction Address: 73 Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Legal Description: Owner Name & Address: 412r Tel. # Contractor: -�-- -�- � � �L '�ie'-- ' R •e r S' MN LICENSE # Address: �Ls me 55 Pair B/vnk Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: QK Construction Type: -T Ik:L- V f. 1�� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ DATE: CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: Call (763) 572-3604 for Permit Fees if mailing in application Tel. # $ — f P 5Fee Schedule on Reverse Side $ a S(o .001 of Permit Valuation (1/10th%) $ / , $.50/$1,000 Valuation $ $1150 per SAC Unit $, DO $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $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 $500,00 $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 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. New Houses Only